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* 1. Please fill in the following contact information for the individual submitting the request.

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* 2. Please fill in the following information about the organization requesting a donation.  Feel free to enter "N/A" if any item is not applicable.

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* 3. Is this organization a 501(c)(3) organization?

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* 4. What item is this organization requesting?

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* 5. Is there any timing constraint associated with your request?  (e.g. "Charity dinner is being held on October 15" or "We specifically need accommodation for April 26" etc.)

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* 6. Anything else you want us to know/consider as we review your request?

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