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- Submit form to: Local alliance Treasurer
- Questions? Contact TAME State Office (512) 471-6100
Fax: (512) 471-6797
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Date Submitted: ___________________
- Name (Volunteer):
_________________________________
- Job Title:
________________________________________
- Company Affiliation:
_______________________________
- Event/Activity/Meeting:
____________________________
Date of Event:
____________________
- Estimated or actual value of in-kind contribution:
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