For every $500 your council or assembly donates to a pregnancy resource center or maternity home (up to $2,000), Supreme will donate $100. Complete this form and submit supporting documentation to request the grant on behalf of the center or home. Supporting documentation must include either an ASAP Donation Receipt Letter or a copy of a cancelled check drawn from the council's account.
Money or items donated to each qualifying organization must be donated between July 1 and June 30 within the fraternal year applied for. Please submit this form within 1 month of your donation, or as soon as possible.
Contact email@example.com with any questions about the application process or online form.
A W-9 (U.S.) from the pregnancy center or maternity home must also be provided as an attachment to this form. Organizations in Canada do not need a W-9 form.