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* 1. What is the name of the Donor?

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* 2. What is the street, city, state and zip code, please?

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* 3. Contact Name:

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* 4. Contact Phone No.

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* 5. Contact email:

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* 6. Please provide a complete description of the items, value and any other information that may be anticipated for receipt and recognition for 25 goody bags. All gift items such as coupons, pens, business cards to promote area business are appreciated to be included in Goody Bags for the entrants.  Thank you for your kind generosity which ill be highlighted!

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