• OK Organization Name is required
  • OK Primary Contact is required
  • OK Title is required
  • OK E-mail is required
  • OK Phone is required
  • OK Street Address is required
  • OK City is required
  • OK State is required
  • OK Zip is required
  • OK Campaign/Event is required
  • OK Brief History is required
  • Are you a 501(c) (3) organization?

    OK Are you a 501(c) (3) organization? is required
  • OK What is the purpose of your request? is required
  • OK How will this benefit our local community? is required
  • OK Amount Requested is required
  • Optional OK How much have you raised to date? is required
  • Do you have a fundraising goal?

    OK Do you have a fundraising goal? is required
  • OK What if donations don't meet the goal? is required
  • Is your organization, or any of its officers members of GFA Credit Union?

    OK Is your organization, or any of its officers members of GFA Credit Union? is required
  • Optional OK Is there an opportunity for a press release, advertising, or social media posting? is required
  • OK Submitted by is required

Security Code

  • OK is required
  • GFA FCU - Gardner, MA reserves the right to use the above information to obtain verifications of identity and background before opening any accounts. We may also access information about you from a consumer reporting agency, such as a copy of your credit report, before opening any account. By submitting this form, you grant full permission to do so.