Donation Request - Nex-Tech Wireless (original) (raw)

Name of Organization

Contact Person

Phone Number

Email

Address

City

State

Zip

Reason for donation

Information about fundraiser/event/promotion the donation is needed for

How many people will attend the event/view the promotion?

Date of event/donation

How will Nex-Tech Wireless be recognized at your fundraiser/event/promotion

Type of donation requested
Door Prize
Booth Space
Advertising
Monetary

Donation Amount

$

Make check payable to

Other

Please specify

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