International Monetary Request Form

Charitable Organization Name *

Contact Name *

Phone (area code included) *

Email *

Address *

Address Line 2

City *

State *

Zip *

What is the purpose of the event or campaign? *

Is the charity or foundation a current or potential customer of DLO? *

Does the charity or foundation have an IRS Regulation 501(c)(3) status? *

Have you sought contributions broadly from the community for the campaign/event? *

Comments

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International Monetary Request Form