General Request Form – First Lutheran Church

Please complete this form for consideration of your donation request. The Memorial and Endowment Committee meets every February, May, August and November. Please have your requests in to the First Lutheran Church office prior to the first week of the month the committee meets. This online form submits the request to the office electronically. If you prefer, you can download the form and mail to: First Lutheran Church, Memorial & Endowment Committee, P.O. Box 346, Hayward, WI 54843

Date *
Name of Organization *
Contact Name *

First

Last
Address *

Address Line 1 *

City *

State *

Zip Code *
Email Address
Phone

Just type in the 10 digits, no + or ( ). Example: 7150000000. The form will automatically format for you.
Amount Requested *
REQUEST

Our committee meets every February, May, August and November. Please have your requests in to the First Lutheran Church office prior to the first week of the month the committee meets.
Please describe in a short paragraph the purpose of your request and how this donation will benefit your organization. *

REQUEST