Enlisted Spouses Club of Ft Meade

Supporting Spouses and the Military Community

P.O. Box 105, Fort Meade MD 20755

www.ftmeadeesc.org

Donation Request

The Enlisted Spouses' Club of Fort Meade is an independent private organization located at Fort Meade, Maryland. The purpose of the organization is to promote social and cultural activities for its members and to support worthwhile services and community welfare projects.

For additional information or to submit your request via email, please contact our Welfare Chairperson at .

Organization or group requesting funds: ______

Two Point(s) of Contact: ______

Address of Organization: ______

Phone: ______Email address: ______

What is the amount of the request? ______

What is the projected date the funds will be needed? ______

Describe exactly how the requested funds would be used. Who would benefit and how?______

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Have you requested or received funding for this project from any other source? If yes, from whom?

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If your request is approved, to whom should the check be made payable and what address would you like it mail to? A complete mailing address and who the check should be made payable to (must be an organization not an individual)

Date Submitted: ______Date Received by Committee______