North OR Coast Chapter - Funding Request

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Care Abounds in Communities - Funding Request

Members may use this form to submit a Funding Request to the North Oregon Coast Chapter Leadership Board. Requests will be discussed at the next chapter meeting. Please note: A minimum of six (6) Thrivent Financial for Lutherans member households must be involved in the activity to qualify for funding. Be sure that all required fields are completed!!

Indicates required field

Your Name:
Your Home Phone Number:
Your Church:
Name of Recipient or organization
Organization/Individual/Cause's Street Address:
Organization/Individual/Cause's City, State & Zip Code:
Project Name:
Proposed Project Date:
Project Description (please elaborate):
Purpose for which funds will be used:
Is this a Fundraiser, Hands on Work Project, or Collection/Appeal?
Is this project being cohosted with another organization (such as your church or a local community group)?
If cohosting the event, please enter name of the church or organization you will be working with:
Esitimated Number of Thrivent Households Participating:
List sixThrivent Financial members who will be activly involved in the activity
Estimated Total Number of Volunteers:
If Fundraiser or Collection/Appeal - Estimate Amount to be Raised:
If Fundraiser or Collection/Appeal - Amount of Supplemental Funds Requested:
If Hands on Work Project - Estimate Total Cost of Project:
If Work Project - Amount of Funding Requested:
If Work Project - Are you requesting 50% of funding to begin the project?
Any additional Comments:
Your Email Address

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4321 N. Ballard Road
Appleton, WI 54919-0001 USA

Minneapolis Office:
625 Fourth Avenue S.
Minneapolis, MN 55415-1624 USA

Insurance products issued or offered by Thrivent Financial for Lutherans, Appleton, WI. Not all products are available in all states. Products issued by Thrivent Financial for Lutherans are available to applicants who meet membership, insurability, U.S. citizenship and residency requirements. Securities and investment advisory services are offered through Thrivent Investment Management Inc., 625 Fourth Ave. S., Minneapolis, MN 55415, a FINRA and SIPC member and a wholly owned subsidiary of Thrivent Financial for Lutherans. Thrivent Financial representatives are registered representatives of Thrivent Investment Management Inc. They are also licensed insurance agents of Thrivent Financial.