Request for Funds Form - OUR SAVIOUR'S LUTHERAN CHURCH

Request for OSLC Foundation Funds

* Indicates required field

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Email *

Purpose of Request *

Description of Project (include time-frame and location) *

Anticipated Benefits of Project *

Project Budget *

Amount Requested *

Date funds are needed *

Note: If funded, a final progress report to the foundation would be appreciated.

Submit