Donation Request Form

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Donation/Sponsorship Request Form

Mosaic Telecom proudly supports events and activities that benefit the communities we serve. Historically, we have sponsored or made donations to community projects and events, educational programs, youth activities and various nonprofit organizations. Our focus is on programs or events that directly impact our communities in order to make the most of our available funds. ALL requests must be in writing, and received 60 days prior to the event. Requests to support religious or chrch specific activities, political lobbying or other political activities or specific individuals will be denied. Incomplete forms will not be considered.

Fields marked with an asterisk (*) are required.

Please include area code

Please include area code