NEWGF173-17 Fundraising Request Form

Unit Name and Charter Number*
Requestor Email Address*
example@example.com
Requestor CAPID*
Requestor Name*

First NameLast Name
Requestor Member Type*
Requestor Grade*
Requestor Best Phone Number*
Please enter a valid phone number.
Requestor Duty Title*
Unit Commander's Name*

First NameLast Name
Unit Commander Grade*
Unit Commander Email Address*
example@example.com
Activity Name*
Activity Start Date*

MonthDayYear
Date
Activity End Date*

MonthDayYear
Date
Describe Fundraising Activity In Detail *
Any Additional Information You Would Like To Provide
I have reviewed CAPR173-4 Fund Raising / Donations and will comply with all its elements*
Signature of Requestor

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