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Get FirstMerit Application for Contribution / Sponsorship

Name & Title: (if different than CEO) Email address: Are you a FirstMerit Customer? ____ Yes ____No Organization Information: (Briefly describe the history and mission of your organization) Type of funding requested: ________Contribution ______Sponsorship Description of funding request: (Briefly describe the goals and objectives for the funding) Amount of Request: Name of Event (if applicable): Date of Event: # of People served annually (unduplicated): If a project, # of people to be .

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