Application

Below you will find the application for clean water, the program is designed to help everyone to the best of the initiatives ability.

Application to the Clean Water Initiative created by Joseph McDonald

Name:                                                                                  Date:

Phone:                                                                                 Email:

Address:

Reason for applying?

Number of people who will have permanent or semi permanent access to the water as provided by this fund?

How did you hear about the initiative?

Did you read, understand & accept our Privacy Policy and Terms of Usage?

A confirmation email will be sent to reiterate what you are applying for and agreeing to, this arrangement can be cancelled by either party at anytime for any reason.