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Donation Request Form

Please fill out the form below to submit a Donation Request.

Submission of this request does not guarantee that your request will be approved.
Please submit all requests by e-mail and not over the telephone. We will contact you if your submission has been approved.

  1. Organization Info
  2. Organization Name(*)
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  3. Tax ID(*)
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  4. Zip(*)
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  5. Organization Type(*)
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  6. Website
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  7. Contact Information
  8. First Name(*)
    Please let us know your name.
  9. Last Name(*)
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  10. Email Address(*)
    Please let us know your email address.
  11. Primary Phone(*)
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  12. Cell/Other Phone(*)
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  13. Title/Relationship to Organization(*)
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  14. Organization's Event Details
  15. Event Name(*)
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  16. Description(*)
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  17. Event Location(*)
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  18. Event Date(*)
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  19. Number of Guests(*)
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  20. Event Sponsor/Underwriter (if no event sponsor/underwriter, please write N/A)*(*)
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  21. Request Details
  22. Item Requested for Event(*)



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  23. If Other
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  24. Referred By (if applicable)
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  25. Validation
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310 Portland St
South Berwick, ME 03908
(207) 384-4653
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