Please allow 2 weeks for a response. We will notify the contact person of our decision. Thank you! 

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1. Name of Organization (Required.)

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2. Mailing Address of Organization (Required.)

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3. Federal Tax ID Number (Required.)

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4. Contact Person (Required.)

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5. Please describe the event and/or cause for donation (Required.)

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6. Date of Event (Required.)

Date

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7. Average Donation Amount (Required.)

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8. If anyone in your organization is a customer of Springer’s, please note here:

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9. Has Springer's donated to your cause in the past? 

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10. If approved, what store location would you like to pick up your donation? (Required.)

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