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Donation Request Form

266 Route 125 Kingston, NH 03848 Phone: 603-606-5269 Fax: 603-657-9083

Each year, our company allocates a budget to support community activities through contributions. While we are pleased assist your organization’s programs, requests have become so numerous that they exceed our financial capabilities. Therefore, we must fairly distribute our support to as many organizations as possible and ask that you complete this form.

Please print clearly and return this completed form at least 60 days prior to the event date to allow your request to be fairly processed. From October 1st to February 1st, your requests may take longer for us to process due to an overabundance of other inquires. During this time, we greatly appreciate your patience.

If a donation is granted, this authorizes to use the organization’s name as a donation recipient in any of advertising.

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