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Humane Society Pets

Community Spotlight Grant

V-Teck Communications/Liberty National Bank
WPKO/WBLL/Peakofohio.com

Registration Form

Printable Registration Form

Mail Printed form to: Community Spotlight Grant
c/o V-Teck Communications, Inc.
1501 County Road 235
Bellefontaine, OH 43311
Phone: (937) 592-1045 - Fax: (937) 592-FAXX
Or email to: CommunitySpotlightGrant@wpko.com

Community Organization:
Contact Name:
Contact E-Mail:
Phone:
Street Address:
City:
Zip:
1. Background of organization in Logan County and/or Champaign County:
2. Number of people who are involved in your organization:
3. Number of people who are served by your organization:
4. An example of how your organization has impacted lives in our community:
5. What would you like to accomplish by having a month on the program? :
6. What time of the year would you like to be on the spotlight? :
Key Phrase:
Enter Key Phrase:

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