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Www.ddcaz.com/index.php/misc/community for eligibility requirements and application deadlines. See back for additional space and mailing information. Please type or print legibly. Organization Name: Submittal Date: Contact Person’s Name: Phone: Title: Fax: Email: Mailing Address: City/State/Zip: Name of Program/Event: Total Amount Requesting: Date of Event: Geographic Area Impacted by Event/Project: Brief description of how funds will be used: Previous Desert Diamond Casino contribut.

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