Giving Back

Community Donation Application

Name of Organization/Project/Event: *

501(c)(3) Identification #:

Program Title:

Program Date:

Request Description:

What are the opportunities for free advertising or use of the Stemilt logo with this donation?:

Describe Affiliation with Stemilt

Dollar Amount Requested:*

Project Timeline:*

Contact Name:*

Contact Title:

Contact Address:*

Contact Phone: *

Contact Email: *

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