Date Fund Name United Way of the Kalamazoo & Battle Creek Region Organization Amount $ Chris Sargent Contact Person 709 S. Westnedge Avenue Address Kalamazoo, Michigan 49007 City/State/Zip Kalamazoo Flood Relief Fund Purpose of Grant Special Instructions Organization Amount $ Contact Person Address City/State/Zip Purpose of Grant Special Instructions Organization Amount $ Contact Person Address City/State/Zip Purpose of Grant Special Instructions Donor Signature
Date Fund Name Organization United Way of the Kalamazoo & Battle Creek Region Amount $ Contact Person Chris Sargent Address 709 S. Westnedge Avenue City/State/Zip Kalamazoo, Michigan 49007 Purpose of Grant Kalamazoo Flood Relief Fund Special Instructions Organization Amount $ Contact Person Address City/State/Zip Purpose of Grant Special Instructions Organization Amount $ Contact Person Address City/State/Zip Purpose of Grant Special Instructions Donor Signature
Flood%20Relief%20Grant%20Suggestion%20Form.docx