Grant Delivery Instruction Form

The Clearwater Capital Foundation would like to congratulate you on your grant request being approved. In order to ensure prompt delivery of your grant check, please take a moment to fill out the below form.

Please note that if this is a match request, you must submit proof that your portion of the donation has been submitted to the organization to Ricki Turner before submitting this delivery instruction form - ricki.turner@ccpwealth.com

Name of Grant that has been approved:

How will the grant ultimately be delivered?

*Please note, if check will be hand delivered, it will still be sealed in an envelope.

Mailed to Organization

Delivered in Person

Credit Card

To whom exactly should the check be made out to?

To Whom exactly should the letter be made out to?

Example: Should it be written to the charity or to a specific individual

What was the Approved Grant amount?

How much should the check for?

$

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Any other specific instructions?

If this is a match request, have you sent a PDF receipt of your donation to Ricki Turner?

Yes, my receipt has been sent

No

This is not a match request