Donation Request Form

"*" indicates required fields

Person Requesting Donation*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Email*

Phone*

Fax

Please describe the need and why you are requesting assistance.*

If requesting a donation on behalf of someone other than yourself, please include their name and contact information

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Requests for donations will be considered based on completion of this form in its entirety. Upon completion of this form, please send it in the mail to 102 South Main Avenue, Wagner, SD 57380 or email to Michal@gfbucheco.com.

Team Buche Cares’ focus remains on communities and families in rural South Dakota. Requests for funding will be presented to the Team Buche Cares Board of Directors. Unfortunately, not all requests will be granted. Successful applicants will be contacted directly by the Team Buche Cares.

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