NW Iowa's Licensed Wireless Provider
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Charity Grants / Donations Under $100
 
* Name of Organization
* Evertek Grants are for non-profit organizations only. Please provide your Tax Exempt Number
Cash Amount Requested
Donation Requested (i.e. items for gift bags, Internet )
Reason for Request
* Date Request made
*  Date Needed
* In which Evertek community is this event or organization?
* Check to be made out to
* Person making request
All requests MUST come from a current Evertek customer.
* Address
* City
* State
* Zip
* Telephone
Email
Comments:
* Required fields
 
 
216 North Main • PO BOX 270 • EVERLY, IA 51338
Internet Tech Support: 800.864.6043 • All other inquiries: 800.242.0154

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