Request Form

If you live in Durham, Lee, Madbury, or Newmarket and need financial assistance, please work with a community validator who is familiar with your situation. A community validator could be a school nurse, guidance counselor, teacher, doctor, hospice worker, clergy member, or a worker at a social service agency. This validator can certify your status and help you determine the specific amount to request.

For Validators Only: please complete each line as all information will be used in assessing your request. We can only provide assistance to a client once in a 12 month period. If you are having difficulty accessing our form, please contact us via the Contact page.

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PO Box 554

Durham, NH 03824-0554 

Oyster River Womenade is a non-profit 501(c)3 organization. All donations are tax-deductible.