Riiser Energy Donation Request Form Page 2

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4) Briefly tell us how this event will benefit our Central Wisconsin Communities:
5) What kind of attendance do you anticipate for your event? ________________
6) What type of advertising are you planning to promote this event?
7) Will Riiser Energy/R-Stores receive acknowledgement in advertising? _______ And at the event? __________
Please explain.
8) Are any Riiser Energy or R-Store associates part of or active in your organization? __________
If so, please list their names.
Additional Comments:
Signature: ___________________________________________________ Date: ___________________
Please Note: If you have questions about your Donation Request Application, please e-mail:
Thank you for considering Riiser Energy and R-Store as your community sponsor.

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