CHWC 2025 Fundraising Log

Fundraising Log

Teen participants: please use the form below to log all cash or check donations you have collected. Complete a new form for each donation.

Donors may also contribute directly using the online form at boldym.com/chwc2025donations. (These online donations do NOT need to be logged on this form).

For questions, please contact  Jean Stroud at jstroud@fiatventures.com.



Participant Information

*First Name
*Last Name
*Address
Apartment If Applicable
*City
*State
*Zip Code
*Email
*Home Phone (XXX-XXX-XXXX)
Cell Phone (XXX-XXX-XXXX)

Donor Information

First Name
Last Name
Address
Apartment If Applicable
City
State
Zip Code
Email
Home Phone (XXX-XXX-XXXX)
Cell Phone (XXX-XXX-XXXX)

Cash or Check Amount (Please include check number)

Please include check #. Checks should be made payable to "Fiat Ventures".

Please hit button only once:

973.500.3300
P.O Box 4292, Warren, NJ 07059

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