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Donation / Sponsorship Request

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Required Field *

RC 4

Date Request Needed
Location of Event
Address
Person Making the Request
Title
Email
Phone
Fax
Amount Requested

Are you a 501C organization?
Organization's Primary Purpose/Mission
Description of how funds will be used
Will there be any advertisement or promotions featuring GNB Bank? If yes, please explain.
Does the organization have a relationship with GNB Bank? Please explain.
Previously, has GNB Bank donated to this organization?

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