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Organization Name
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Mailing Address
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Tax Exempt or Nonprofit ID
If Applicable
Primary Contact Name
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First
Last
Primary Contact Email
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Primary Contact Phone Number
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Date Donation is Needed By
Address Nonprofit ID
Type of Donation Requested
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Gift Cards
Plants
Other
Purpose of Donation
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Explain who will benefit and how the donation will be used. If requesting plants, specify plant type and quantity. If requesting gift cards, specify quantity of gift cards and amount of each gift card. If requesting other materials, please be specific in type and quantity. **IF YOU HAVE RELEVANT EVENT FLYERS, POMOTIONAL MATERIALS, OR SUPPORTING DOCUMENTS PLEASE EMAIL THEM TO info@mynaturescorner.com AND INCLUDE THE ORGANIZATION NAME LISTED ON THIS FORM.**
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