We have two options available to you – you may download a Word document or complete this form online.  Please note the following:

  • The NWJC’s MUST receive the donation forms before a donation request can be approved”
  • Please Note: a donation requests presented in person has a greater likelihood of being approved, too many questions are left un opened if no one is present to present request.
  • Once you submit the form, If you do not receive an email stating “we received your request”,  please submit again.

“501c3 state or federal non profits documents must be emailed to nwjcdonations@gmail.com or attached before your request will be reviewed by Jcs members.”

Donation Request Form

Complete all fields. Your request will be reviewed and we will get back to you.


Your Details


Please be as specific as possible
Please indicate name or organization

LG555 Government Approval or Acknowledgement for Use of Gambling Funds

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