NxG Fund family form

Family member nominations

Family members may nominate a charitable organization by completing the form below and clicking “SUBMIT.” Once the form is received, the organization will be sent a grant application.

NxG grant request

NxG grant request

Organization

Name of Organization *

Address

Phone Number

Email Address

Briefly describe your connection to the organization:

Family member's contact information

Name

Phone Number

Email Address *

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