- P20 -

First Name Last Name Email Address Acceptance of any contribution gift or grant is at the discretion of Hiilosom. Hiilosom will not accept any gift unless it can be used or expended in alignment with the purpose and mission of the genderbased violence prevention project. No irrevocable gift whether outright or lifeincome in nature will be accepted if under any reasonable circumstances the gift would jeopardize the donors financial security. Hiilosom will refrain from offering advice on the tax or other treatment of donations and encourages donors to seek guidance from their professional advisors before making a donation.