K.J.'s Carts for Kids
Beneficiary
   
 

 
 
Attention Champions of compassion!
Please share how you've blessed another!

 

An asterisk * indicates a required field.
*Full Name
Address
City
State
Zip Code
*Phone
*E-mail
*Your Story
 

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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!
KJs_Carts_for_kids_left_chest_LOGO_10_28.jpg

KJ's Carts for Kids 2009
Donation Request Application


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Organization/Institution/Entity/Individual or Family Name


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Description of Above (if applicable)


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Street Address                                                             City                               State                              Zip

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Phone Number                                                                         Number (cell)                                                                       Fax


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Contact Name/Title


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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
KJ'S CARTS FOR KIDS

 

©2004 - 2013 KJ's Carts for Kids • www.kjscartsforkids.com • Beneficiary



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