Request Information

Information and entry forms for our annual golf tournament and 5k-10k races are linked from our Events page.

To request other information from the Fund, please print and fill out this page.

Information desired:
___ How to receive assistance or services
___ How to apply for a scholarship
___ How to help the Fund with its events
___ Where are raffle tickets sold
___ Other (please specify) __________________________________

Contact information:
Name ________________________________________________

Address __________________________________________

Town _______________________________ State ______ ZIP _____

Telephone ______________________

E-mail _____________________________________

Mail this page to:
The Helpers Fund
258 Darrowsville Road
P.O. Box 691
Chestertown, NY 12817

The Helpers Fund is a 501(c)3 charity which has been serving the geographical area of the Tri-Lakes region since 1997.