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Donation & Sponsorship Request Form

United Wireless

1107 McArtor Road - PO Box 117 - Dodge City, KS 67801 - Phone: 620.227.8127 - Fax: 620.855-4012

Donation & Sponsorship Request Form PDF Version

Date(MM/DD/YY):

Organization Name:

Address:

Phone Number:

Contact Person:

Name of Event:

Date of Event(MM/DD/YY):

Type of Request:

Financial Support
Item Or Product

Description of Request:

How will United be recognized for this event or project?

Date Needed(MM/DD/YY):

Security Image:

Please submit requests to United at least three weeks prior to date needed. Submit form and related information to the United Marketing Dept. See above for contact information.

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