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Donation Request

Use this form to submit a request to our Charitable Giving Program for your organization.

Address(Required)
Have you received help from us before?(Required)
Consent(Required)
I understand that The Stan Clark Companies’ Charitable Giving Program does not donate to the following:
• For Profit entities
• Political organizations or candidates
• Companies/agencies/departments requesting for self-promotion/fundraising or employee award/recognition programs
• Individuals or groups seeking financial aid for medical or other assistance
• Individuals or groups seeking financial aid or advertising for pageant or program participation, or travel
• Individuals or groups seeking financial aid or advertising for sports team program participation or travel
• Agencies that receive United Way funding
• Groups raising funds for the United Way
MM slash DD slash YYYY
Name of contact person making the request(Required)
Mailing Address
Accepted file types: jpg, gif, png, pdf, ordoc, Max. file size: 400 MB.
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