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Attention Champions of compassion! Please share how you've blessed another!
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***************************************************** To be considered for a donation in 2010, please print and fill out the form below.
Upon completion, please mail to:
KJ's Carts for Kids 2916 S. 132nd Street Omaha, NE 68144
Questions? Please email Admin@KJsCartsForKids.com or Call 402.740.1740
For Christ & Kids!
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KJ's Carts for Kids 2009 Donation Request Application
_______________________________________________________________________________________________________________________ Organization/Institution/Entity/Individual or Family Name
_______________________________________________________________________________________________________________________ Description of Above (if applicable)
_______________________________________________________________________________________________________________________ Street Address City State Zip
_______________________________________________________________________________________________________________________ Phone Number Number (cell) Fax
_______________________________________________________________________________________________________________________ Contact Name/Title
_______________________________________________________________________________________________________________________ Email Adress Website (if applicable)
Abstract of Request/Proposal: (title of program/project, amount, time frame or schedule, etc.) - not to exceed 200 words.
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Specific Description of Request/Proposal/Program/Project and Related Benefits
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Correlation to Children or Other Special Needs:
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We appreciate your permission to share your story with our donors/media/website. Please date and sign below for permission of same.
_______________________________________________________________________________________________________________________ Signature granting permission to share your story. Date
Please attach any budgets, bids, pictures, etc. Return to: KJ's Carts for Kids 2916 S. 132nd Street #180 Omaha NE 68144
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