FORM_6_CHARITABLE_DONATION by liamei12345

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									                       COLLIS CENTER FOR STUDENT INVOLVEMENT

                             FORM 6, CHARITABLE DONATION

***POLICY: FUNDS FOR CHARITABLE DONATIONS MUST COME FROM VERIFIABLE PROFITS
FROM FUNDRAISERS. YOU CANNOT USE DARTMOUTH FUNDS FOR CHARITABLE
DONATIONS.

COMPLETE THIS FORM AND FORWARD TO PAT MOSS AS AN ATTACHMENT
OR, PRINT AND SUBMIT TO PAT MOSS IN 303 COLLIS WITH ADDITIONAL ENCLOSURES

Today's Date

Organization

Your Name

Source of funds for
this donation

PAYMENT AMOUNT:

Name of Charity

Address of Charity




Federal tax id #
 or Tax Exempt id #

Is there any paperwork or information we need to enclose with the check?

                      Yes                                     No

								
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