Operation Round Up Application for Donation for Organization/Agency

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                        OPERATION ROUND UP APPLICATION FOR DONATION FOR ORGANIZATION/AGENCY

Phone Number
Include specifics of how funds will be used.
List other sources of funding for use of request as described above.
Is organization requesting funding exempt from payment of income tax?
The information contained in this statement is for the purpose of obtaining funding from the Central Wisconsin Electric Trust on behalf of the undersigned. Each undersigned understands that the information provided herin is used in deciding to grant funding, and each undersigned represents and warrants that the information provided is true and correct until a written notice of a change is provided. The Central Wisconsin Electric Trust is authorized to make all inquiries they deem necessary to verify the accuracy of the statements made herin.
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