Point of Contact
Include any cities/towns/counties that will benefit from water donation.
Select all that apply to the organization or event
Describe how this event/organization benefits the community.
One file only.
20 MB limit.
Allowed types: gif, jpg, png, bmp, eps, tif, pict, psd, txt, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, svg.
What are you requesting?
If approved, where should a check be mailed to?
If a dontion is approved, I agree to give Medina EC recognition for their contribution. If a donation is approved, Medina EC may take photo of donation, check presentation, or event.