Lime Rock Springs Co. Donation Request
Please submit your request at least 3 weeks prior to your event to ensure proper consideration.
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Name of Organization Requesting Donation: *
Address: *
City, State & Zip Code: *
Contact Name:   *
Contact Number: *
Contact Email Address: *
Have you previously received a donation from Lime Rock Springs? *
Event Details (name of Event or Project): *
Date of Event or Start Date of Project: *
Address of Event or Project: *
Short Description of Event or Project Goals and Objectives: *
Estimated Number of Attendees or Participants: *
Donation Request/Additional Comments: *
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