11WhoCare - McDivitt Law Firm Non-Profit Nomination Form

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 A nonprofit can only receive the donation 1x July 2017-June 2018

1.Name of Deserving Non-Profit
Non-Profit needs to reside in Southern Colorado *
2.Address of Deserving Non-Profit
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3.Reason why they are Deserving*
4.Name of Person Nominating the Non-Profit
*
5.Please enter your date of birth.
Month* Day* Year*

6.Terms and Conditions
I have read, understand, and agree to the Website usage agreement and privacy policy.
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