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Non Profit Group Survey

Dear Sir or Madam, please take a few minutes of your time to complete the following questionnaire.

Secured
1

What is the name of your Not For Profit Group?

2

What is the charitable purpose of your NFP?

3

How, and for what purpose will the donation money be used?

4

Do you have any charitable events that Levy at State Farm can participate in? Please include dates (Diaper drives, back to school drive, volunteer opportunities, etc)

5

Do you have any feedback/comments or concerns?