Rays Super Markets Advertising Request

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Community Grant Program
Community Relations Advertising Request

All fields are required.

Amount Requested
Requested Medium	Print Radio TV
Date Copy Due
Publication Date
Distribution Quantity
Please describe the primary function of your organization and the clientele it serves:

Please indicate breakdown of overall contribution dollars to this project:
%	to overhead operations
%	to benefit cause/constituents
Please describe why your organization is requesting a grant from Chief Supermarkets.

What food related sponsors are participating in this project?

Describe in detail you distribution plan:

Supporting documentation (optional):	Attach your file(s) here: Submission total must be smaller than 5MB
Organization
Address
City	State Zip
Phone
Fax
Email