Donation / Sponsorship Request Form

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Required Field *

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Date Request Needed*

Location of Event*

Organization Name*

Address

Person Making the Request

Title*

Email*

Phone*

Fax

Amount Requested*

Are you a 501C organization?*

Organization's Primary Purpose/Mission*

Describe the impact this donation will have on your organization as well as the community.*

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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