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Get Casey's Donation Request

Asey s General Store Location: City Event/Organization Name (no abbreviations): Store Number: State Brief description of the purpose/mission of the organization: Tax Exempt 501(c)3: (check one) Yes No How will the donation be utilized: Date of Event: Contact person: Daytime phone: (with area code) E-mail address (optional): Advertising/Sponsor Deadline: E-mail ad logo to: (Must be a minimum of 20 business days prior to request date) Check payable to: Mail contribution to: Nam.

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