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Community Involvement Request Form

Mama Justice is deeply committed to our communities and the people who make them thrive. Through Mama Justice – Macon a Difference, we strive to support these communities through hands-on involvement and financial assistance whenever possible. If you or your organization have a need, please complete the form below, and we will thoughtfully review your request.

Community Involvement

"*" indicates required fields

Date of Event or Need*

Name of Organization*

501(C)(3)*

Yes

Type of Organization*

School / Religious Affiliation

Law Enforcement / Military Affiliation

City / County Affiliation

Private Foundation

Other

Contact Name*

First Last

Contact Email*

Contact Phone Number*

Contact Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Briefly describe what Mama Justice – Macon a Difference can do to help*

Attach a flyer or sponsorship form: (File upload – PDF or Word)

Max. file size: 100 MB.