Application Form
Criteria to receive free print:
  1. Requestor must provide proof of 501(c)3 status.
  2. Organization must be located in Arkansas.
  3. Requests must be completed on the application below. One application chosen monthly.
  4. Maximum value to be awarded in free printed materials is $500. Promotional products and apparel purchases are not included as part of this offer.
  5. Printed material must be ordered by the 15th of the month that the winning non-profit's name is drawn so CustomXM can complete the order by the end of the month. If an order Is not placed by the 15th, the non-profit forfeits its $500 in free print.
PLEASE NOTE: You are welcome to apply even if you've been a previous winner, however, your application will only be entered if all other applicants have previously won.

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Organization Name *
Address *
City *
State *
ZIP *
Contact Name
 *
Phone number *
Email *
Is Organization a 501(c)3 Not for Profit?
 *
What do you use printed piece(s) for throughout the year?
(Ex: fundraising, event announcements, general awareness, etc.)
 *
What type of printed piece(s) do you use?
(Ex: mail, handouts, displays for events, etc.)
 *
What events do you to plan/host throughout the year, and when do they generally occur? *
After submitting your application, please email your 501(c)3 documentation to pstrack@customxm.com. *
Required
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