Donor Advised Fund Request

Hidden

Date

A field marked with a red asterisk is required.

Step 1: Donor Advised Fund Information
• Enter full name of Donor Advised Fund.
• If known, enter Donor Advised Fund account number.
• Enter the total dollar amount requested for distribution
(minimum total distribution of $250).

Fund name*

Account number

Total*

Step 2: Distribution Information
• List all WELS ministries which will receive a distribution amount.
• The distribution total must agree with the Donor Advised Fund total requested above.
• If you would like to make this a recurring gift (monthly, quarterly, annual, etc.), please add
a note in the Comments section below.
• To add a row for an additional ministry distribution, select + (located to the right of the Distribution box).

Distribution request(s)*

WELS Ministry	City	State	Purpose	Distribution

Step 3: Contact Information

Your name*

Phone*

E-mail*

Enter e-mail Confirm e-mail

I would like to remain anonymous to the WELS Ministries noted above.

Comments

Data Privacy & Permission*

I AGREE with the terms of the WELS Privacy Policy.

NOTE TO EU CITIZENS, RESIDENTS, TOURISTS, AND OTHER PERSONS TEMPORARILY IN THE EU:

By submitting this form you consent to any and all information you provide and submit via the site being sent to the United States of America. The United States has not sought nor received a finding of “adequacy” from the European Union under Article 45 of the GDPR. WELS relies on derogations for specific situations as set forth in Article 49 of the GDPR. You are also informed that the United States presently does not have an adequate level of personal data protection as determined by the European Commission’s adequacy decision on October 6, 2015 (case c-362/14) and articulated in the European Union’s General Data Protection Regulation and has not received a similar designation of adequacy by any other foreign data protection authority. You agree to the transfer of your data and personal data to the United States, however, to be used in accordance with WELS Privacy Policy.

WELS Foundation: [email protected] or 414-256-3262
Ref: Donor Advised Fund Distribution Request