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Channing Memorial Church

Margit Baum Charitable Fund

Application for Gift


As specified in the bequest: All disbursements will be made for the “assistance, care and relief of poor and needy persons in said city of Newport.“

If you would like download and mail in or fax the application CLICK HERE.


Information within this application will be held in the strictest of confidence, subject to applicable law. All applications are subject to approval by the Margit Baum Charitable Fund Committee of Channing Memorial Church.


All Fields with a red * are required.

Recipient's Information

Please fill in the recipient of the gift's personal information.

Gift Request
Requestor's information

If you would like a copy of this form sent to you please fill in your email information

Digital Signature

I (the requestor above) have agreed to submit this application by electronic means. By placing a check in the check box below, I am signing this application electronically. I certify under penalty of perjury and false swearing that my answers are correct and complete to the best of my knowledge, including information provided by yourself about the recipient.

I further certify that:

  • I understand the questions and statements on this application.
  • I have read and understand the legal information.
  • I understand the penalties for perjury in the state of Rhode Island for giving false information.
  • I understand that the Margit Baum Charitable Fund Committee of Channing Memorial Church may contact other persons or organizations to obtain needed proof of the recipient’s eligibility.

I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written signature.