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* 1. Organization Name

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* 2. Is the organization a registered 501(c)3

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* 3. Event Date

Date

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* 4. Event Name

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* 5. Expected number of event attendees

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* 6. By what date does the donation need to be available for pickup?

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* 7. Tell us a little about your event and who is attending.

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* 8. Event Location

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* 9. Event Contact

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* 10. Organization's Website

T