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Primary Contact: Address: 2012 thyl E t P ro g r a m Gran City/State/Zip: Telephone: E-mail: Fax: TELEPHONE COMPANY INFORMATION Number of Employees: Number of Exchange Areas: Number of Access Lines: Size of Community Served: Community/School that will benefit from grant: Organization that will administer grant*: Grant checks will be made out to the organization indicated here and sent to the telephone company for distribution. Grant amount requested: Date of Application: Please include.
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