Request For Funds Or Equipment

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REQUEST FOR OUR HELP
Please print this form and complete the information if your organization is in need of funds or equipment of some sort.  We will review the information and decide if it is a worthy cause and is something we would be interested in contributing to.  Send it to our Corporate address listed below.
 
 
 
Organization requesting equipment or funds____________________________
 
 
Address _________________________________________________________
 
 
Contact Person _________________________________________
 
 
Contact Phone # ________________________
 
 
E-Mail  __________________________
 
 
Description of the project or equipment needed, including prices. Attach Additional pages if needed.
 
 
_________________________________________________________________________________________________________
 
 
_________________________________________________________________________________________________________
 
 
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Send form to:  Crusaders For A Cause Inc.
                                          339 Lehigh Ave
                       Palmerton  PA  18071