JOE D. PENTECOST FOUNDATION
Donation Application
Organization Name:________________________________________________________Address:______________________________________________________
City:_________________________________________________________
State:_____________________Zip:______________
Contact:______________________________________________________
Phone:__________________
Email:__________________
OtherInformation:_____________________________________________
_____________________________________________
Donation Amount:___________________
Date Given:_________________________
If you would like to give specifically to “Joe’s Kids”please
let us know on your application.
Thank you 