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Donation Questionnaire
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1.
Name of Organization/Individual
(Required.)
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2.
Address
(Required.)
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3.
City
(Required.)
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4.
State
(Required.)
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5.
Zip Code
(Required.)
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6.
Phone Number
(Required.)
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7.
Email
(Required.)
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8.
How would you like to provide support to the Military community?
(Required.)
Statewide
Specific Location/Armory
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9.
Which demographic area are you wanting to support? (Select all that apply):
(Required.)
Deployed
Married
Children
Single
Veterans
Other (please specify)
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10.
Type of Donation your organization wants to provide? (Select all that apply):
(Required.)
Food
Gift Cards (Grocery and/or Fuel)
Toys
Holiday Adoption: Military Family
Holiday Adoption: Single Soldier
Other (please specify)
11.
Additional information on donation: