DONATION REQUESTS

If your organization fits The Keith and Amy Van Horn Charitable Fund donation requirements, please fill out the form below and a representative will review your request.  You will be contacted if your donation has been approved and/or if additional information is required.  Please note that due to the large volume of requests, we cannot respond to all requests and not all requests are approved.

To review our detailed donation requirements, click here.

DONATION REQUEST FORM

Physical Address
Physical Address
http://
Contact Name *
Contact Name