Charitable Donations Summary2 WEB by HC120527071939

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									           Lafarge Charitable Donation Request Form
Organisation Name & Address (including post code):




Contact Name:                               Tel No:


      Cash Donation                 Materials Donation             Raffle Prize

Name of project / event:
Date of project / event:

Project summary:




What would you like us to donate?

What is your deadline to receive the donation?

Payable / Deliverable to:




How will you recognise Lafarge’s donation?




FOR OFFICE USE ONLY                               DATE RECEIVED:

PROXIMITY TO LAFARGE SITE:
COMMENTS:




DONATION               AUTHORISED          DECLINED                REFERRED TO LCF




PEM                                 CO                       MD

								
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