Home - Charity Request Form

This Form is for use by members of St. John's Lodge No. 9 F&AM of Washington only. It is for the purpose of requesting Lodge support for a member's favorite charity.


St. John's charitable support is directed primarily toward local needs with low administrative costs. A supported charity should be apolitical and non-sectarian. Preference is given to a member's personal involvement. Our focus is on assistance to issues of health, education, youth and the aged.

Your Full Name: *
E-mail Address: *
Your email address: *
Your Charitys Name: *
Charity email: *
Charity street address: *
City: *
State: *
Zip Code: *
Contact Phone Number: *
Amount Requested: *
If the Charity is a corporation, what percentage of the income goes to administrative cost?: *
If this is an urgent request explain the time line you are working under::
How will St. Johns contribution make a difference? If we did not contribute, what effect will this have?: *
Are you seeking a one-time donation or are you requesting us to consider this in our annual giving? Why?: *
Explain your role with this organization, for example, are you a member, how do you participate; explain how you contribute with your time, energy or money: *
Describe what process you or others have gone through to seek funds from other individuals or organizations. Are other individuals or organizations considering providing assistance?: *
How would our funding promote Masonry favorably? What other information, explanation / reasons / would you like us to consider with this request?: *
Verification Code:
Enter Verification Code: *
* Required

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