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Agency Donation/Sponsorship Request Form

  1. Please answer the following questions.
  2. Is this Agency subject to independent auditor or review annually?*
  3. Please provide the following documentation: 503(c) Form and W-9 with this application.
  4. This will be used as your signature.
  5. Contact:
    Town Clerk, Kathy Queen, at 704-821-5401, if needed
  6. Leave This Blank:

  7. This field is not part of the form submission.