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Non-Profit Organization Donation Request

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Date donation is needed* *IF DATE NEEDED IS LESS THAN 60 DAYS FROM SUBMISSION, REQUEST MAY NOT BE CONSIDERED AT THIS TIME*)
Please describe the purpose of the donation (event, auction, etc.) *
Has Comfort Flow Heating provided a donation to your organization in the past? *
Yes No
If yes, what was contributed and when?
Additional information or comments
The above information is correct to the best of my knowledge. Shall the donation be approved, I will use the donated goods for the purpose listed above. *
Yes
If applicant name differs from organization contact, please add name here
If applicant title differs from organization contact, please enter name here

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