Donation Request - KMTelecom

Kasson Area: 507-634-2511 Dodge Center Area: 507-633-2511

DONATION REQUEST FORM

We welcome Donation Requests. To qualify for a donation, the request must support a program in one of KMTelecom’s service areas and must be a non-political and non-religious organization.

Donation Request Form

Date of Request

Name of the Person Making Request

Name of Organization Making Request

What are You Requesting?

What dollar amount are you asking for?

Please explain your reason for making this request.

If KMTelecom makes a decision to give a cash/check donation, who should the check be made out to?

Address

City

State

Zip Code

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DONATION REQUEST FORM

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