Salem Five Charitable Foundation

Request for Community Donations, Contributions and Sponsorships

Please complete the following form and click the submit button. Submit all other donation request materials to the following address or fax to 978.498.0369.

Salem Five Charitable Foundation
ATTN: Meghan Needham
210 Essex Street
Salem, MA 01970

Please complete the following information


Organization Information: (Briefly describe the history and/or mission of the organization. 500 characters maximum, including spaces)

Description of funding request: (Briefly describe the goals and objectives for the funding request. 500 characters maximum, including spaces)

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The security and privacy of your information is important to us. When communicating with us via e-mail please do not send any information that is considered confidential or sensitive in nature. If you need to communicate any personal information (account numbers, social security number, etc.) please call us 800.850.5000.