Fareway Stores’ Community Outreach Inquiry

Organization Name and Address:

*

Website:

*

Name:

*

Address:

Phone Number:

*

Email:

*

Copy of 501c3 IRS Ruling, If Applicable:

Accepted Formats: PDFs

Brief Description of Request:

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Purpose of Request:

*

Due Date:

*

Brief description of the organization’s purpose, services provided, targeted populations and how it meets a community need:

How Fareway will be recognized, including advertising benefits (newspaper publication, event signage, press release, collateral, announcement, etc.):

*

For Events Only: Event name, date, time, location, admission cost, expected attendance and target demographic:

Additional Supporting Documents:

Accepted Formats: Images, PDFs, Word Documents

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