Yayasan Partner Application Form
Partner/Company Information
Club Name
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Project Name
*
Email
*
example@example.com
Website if Any
Phone
*
Project Start Date
-
Month
-
Day
Year
Date
Project Completion Date
-
Month
-
Day
Year
Date
District
R.I.DIST 3300
R.I.DIST 3310
Contact Information
Contact Name
*
First Name
Last Name
Title/Position
*
Email
*
example@example.com
Phone
*
Projects Interested in
Please Select
Community
Education
Environment
Women Empowerment
Youth
Describe your project briefly that your club is raising funds.
*
Project target sum
*
Target donations to be collected
*
Number of Tax receipts expected
*
Target to whom or the event to raise the funds.
*
Club Secretary's Email
*
example@example.com
Club President's Email
*
example@example.com
Attach relevant documents
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*
Consent to become Yayasan partner is obtained by the club members.
I would like to receive updates, promotions, and news from the foundation.
I do not wish to receive any communications.
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