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 under the rules of the Internal Revenue Service and is incorporated under the laws of the State of New York and listed with the New York State Bureau of Charities.