Charity Assistance Form

Name:

Contact information:

Background information:

M
Yes
Yes
Individual


Financial Information:

Yes

Yes
Yes

Requested Assistance:



Yes

Declaration:

By sibmitting this form, I certify that the information provided in this form is true and accurate to the best of my knowledge. I understand that providing false information may result in the denial of assistance.

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Thank you for completing Eight Dimensions Charity Assistance Form. We will review your application and contact you using the method of contact provided above. Please note that submission of this form does not guarantee assistance, as all requests are subject to evaluation and availability of resources.