Please enable JavaScript in your browser to complete this form.
Fund Advisor
*Must be a qualified donor advisor on the account.
Contact Information
We need an email and phone number in case we have questions about your grant recommendation. We will also use this information to verify the account before making a grant.
Any recommended organization must be a 501c3 non-profit.
Address, City, State and Zip code
Is there a particular program or project you would like your funds applied to? If not, leave blank.
How would you like your grant delivered?
Donor Acknowledgement
I verify that I am a qualified donor advised for this fund. I understand that I am recommending a grant and the final judgment of that gift rests in the hands of National Charitable Fund, Inc. whose charge it is to see that all distributions are within the designated purposes of the fund. I acknowledge that the requested recommendations do not represent the payment of any legally enforceable pledge or obligation nor does the undersigned expect any goods or services as a result of this charitable distribution.