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  • OK Organization Name is required
  • Is this a registered charity or a 501(c)(3)

    OK Is this a registered charity or a 501(c)(3) is required
  • OK Contact Person is required
  • OK Email is required
  • OK Phone is required
  • OK Address is required
  • OK City is required
  • OK State is required
  • OK Date & Time of Event is required
  • OK Location of Event is required
  • OK Purpose of Event is required
  • OK Goods/services requested and the dollar value is required
  • OK Who does this Organization Benefit? is required
  • Are you or someone associated with this organization a customer of FVSBank?

    OK Are you or someone associated with this organization a customer of FVSBank? is required
  • OK Name is required
  • OK Promotional Opportunities: (Please provide evidence/details of how our organization will be acknowledged.) is required
  • OK Other Supporting Information: Briefly describe why we should consider your request, event management capabilities or any other information that may influence our decision to provide support. is required
  • OK Security Code is required

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