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THE PHILLIP CAMPASFOUNDATION

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NOMINATE

Help connect someone to support.

Know a veteran, law enforcement officer, first responder, active military member, or family member in need of assistance?

GET INVOLVED

Start with a nomination.

Submit the form and the foundation will contact you directly.

Or download the PDF form (opens in a new tab)

Email completed PDF forms and any supporting documents to:

pcfinfo@thephillipcampasfoundation.org

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Fields marked * are required.

Nominator information

Full name *

Email *

Cell phone

Home phone

Nominee information

Full name *

Email *

Cell phone

Home phone

Request information

Service affiliation (military, law enforcement, first responder, or family)

Brief description of the request

Amount requested ($)

Supporting documents: please email them to pcfinfo@thephillipcampasfoundation.org after submitting this form.

Signature (typed name)

Date

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THE PHILLIP CAMPASFOUNDATION

Honoring Phillip’s legacy.
Continuing his commitment to service.

The Phillip Campas Foundation, Inc.
501(c)(3) tax-exempt organization
EIN: 93-3345334

The Foundation

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10323 Paradiso Way
Bakersfield, CA 93306

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