RWF

RUSSIAWELLNESS FOUNDATION 

Gift Form

The enclosed is my gift of $_________________ to be used for:
Please make checks payable to: Community Foundation of Shelby County.  Please add  “Russia Wellness Foundation” to the memo line.



___ Russia Community Fund (unrestricted grant making fund)
___ I wish to establish a new charitable fund with this gift.  
___ Russia Wellness Facility Fund (TRACK)
___ Other: 



Mail to:

The Community Foundation of Shelby County

100 South Main Avene

Ste. 202

Sidney OH  45365   



 
Given by: 

 ______________________________________________________________


Address: ________________________________________________________________

 
City: _______________________ State: _________ Zip: ___________

 
Telephone: _________________ Email: _______________________

 

               

If