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CBT Fund Form

 

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C.B.T. Fund Establishment Form

Your name or the name of your company

If applicable

What would you like to name your fund

Why are you starting a fund

EX: Fund for Military families, cancer victims, only in certain counties, anyone going through a medical crisis,etc...

Such as money and/or gift certificate for staple items

Let the applicant and possible donors know the story of your fund

The benefits of opening up a medical fund

Committee Job Description- Check box indicating you understand.

Type your name in the below. ( Signature will be obtained when approved)

Date of signature

If applies