Royal Round Up Program Nomination
Thank you for your support of charities in our community.  Please fill out this form completely.  A charity will be selected for each month to receive 'round up' donations.  Our team will contact you if your charity is scheduled to receive our round up donations.

Preference will be given to registered 501(c)3 organizations and those fitting with the mission of Royal Super Mart.
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Name of Organization or Business *
Organization Website *
Organization Contact:
Name, phone, email, mailing address
 *
Name of Nominator *
Nominator Contact Information:
Phone, email
 *
Tell us about the great work this organization does! *
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