Donation Request Form

Our Company allocates a budget to support the community
Requests have become so numerous that therfore we must fairly distribute our support to as many organizations as possible.

Please return this completed request form at least two weeks prior to the contribution date so that it can be fairly
processed.

Have you received previous donations from EVITA?

 Yes     No

Is this organization currently a customer of EVITA?

 Yes     No




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OPEN 7 DAYS (Sunday - Monday) by appointment

Tue- Wed 8am-5pm
Thu- Fri    8am-6pm
Sat           8am-5pm




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