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Fundraising Information Sheet

Click here to print the Fundraising Information Sheet Form.

Section 1: Organization Information

Name:

Organization Name:

Organization Address:

Organization Address2:

City:

State:

Zip:

Organization Contact Person:

Contact Phone:

Contact Fax:

Contact Email:

Section 2: Check All Which Apply To Your Organization

Does your organization currently have a MaineSaver Value Card?

Yes No

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