Stewards Fund Grant Recommendation STEWARDS FUND GRANT RECOMMENDATION Date: ____________________________________________________ Account Number: ________________________ (See top right of last statement) Donor Name: _________________________________________ Spouse’s Name: ________________________ Address: ________________________________________ City ________________________ State:________ Zip ________ I/We certify that no goods or services will be received from these grants nor do they fulfill any personal pledges. Signature: ________________________________________ AMOUNT 1. Charity Name: _______________________________________________________________ ___________________ Address: _______________________________________________________________ Designation, if any (no pledges): _______________________________________ 2. Charity Name: _______________________________________________________________ ___________________ Address: _______________________________________________________________ Designation, if any (no pledges): _______________________________________ 3. Charity Name: _______________________________________________________________ ___________________ Address: _______________________________________________________________ Designation, if any (no pledges): _______________________________________ 4. Charity Name: _______________________________________________________________ ___________________ Address: _______________________________________________________________ Designation, if any (no pledges): _______________________________________ Notes or special instructions: Total Grants This Page If you need to list additional charities, check here ____ and continue on the reverse side. AMOUNT 5. Charity Name: _______________________________________________________________ ___________________ Address: _______________________________________________________________ Designation, if any (no pledges): _______________________________________ 6. Charity Name: _______________________________________________________________ ___________________ Address: _______________________________________________________________ Designation, if any (no pledges): _______________________________________ 7. Charity Name: _______________________________________________________________ ___________________ Address: _______________________________________________________________ Designation, if any (no pledges): _______________________________________ 8. Charity Name: _______________________________________________________________ ___________________ Address: _______________________________________________________________ Designation, if any (no pledges): _______________________________________ 9. Charity Name: _______________________________________________________________ ___________________ Address: _______________________________________________________________ Designation, if any (no pledges): _______________________________________ 10. Charity Name: _______________________________________________________________ ___________________ Address: _______________________________________________________________ Designation, if any (no pledges): _______________________________________ Total Grants This Page _________________ Notes or special instructions: ____________________________________________________________________ TOTAL GRANTS _________________