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Third-Party Fundraising Application
Please fill out the application to conduct a Third-Party fundraising event/fundraiser. Once received, a United Way of Wayne and Holmes Counties staff member will contact you.
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Email
*
Your email
Name/Organization:
*
Your answer
Department (if applicable)
Your answer
Contact Person First Name
*
Your answer
Contact Person Last Name
*
Your answer
Contact Person Title
Your answer
Website
Your answer
Street Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
Phone Number
*
Your answer
Email
*
Your answer
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