Aid Requests Please fill out the form below to send an email to our Aid Committee. Please enable JavaScript in your browser to complete this form.Name of person requesting aid: *FirstLastEmail *Name of oil/gas/ancillary company worked for: *Duration of employment: *Name of person with medical condition: *FirstLastRelationship to person requesting aid (i.e. self, dependent child, spouse, other) * or citizens above Are both parties named above U.S. citizens or lawful permanent residents of the U.S.?YesNoBrief description of the medical condition and related financial assistance. *Submit Foundation Address – P. O. Box 66054 – Houston, TX 77266
