| 1) What is your organization? What goals or objectives do you have? |
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| 2) Who will this donation help? |
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3)What type of donation are you requesting?
(Financial donation, Promotional item, Team/event sponsorship, Scholarships) |
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| 4) Outline any promotion or recognition that Beaumont Credit Union will receive for its contribution. |
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| 5) Please provide a Contact Name and Phone Number. |
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