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Donor Mailing List Request Form

This form is for Donor Mailing List Requests Only.

Please submit this request at least 10 days in advance of your intended mailing date.

First Name (Required)

Last Name (Required)

Your E-Mail Address (Required)

State (Required)

Organization (Required)

Please do not use acronyms.

What entity is this a project of? (Required)

c3
c4
527
PAC

What list are you requesting? (Required)

$5-$99 Current (twice per year)

$5-$99 Lapsed (twice per year)

$100-$999 Current (once per year)

$100-$999 Lapsed (once per year)

What is the proposed use of the data? (Required)

What vendor will you be using, if applicable?

What is the proposed mail date? (Required)

/ /

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