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Altrusa International of Montrose

2010 Nonprofit E-Waste Grant Application

Name of Nonprofit ________________________________________________


Mailing Address ________________________________________________
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Contact person ________________________________________________
Phone number(s) ________________________________________________
Email ________________________________________________

What is your organization doing to help reduce your footprint on the environment?
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List the items and volume your organization plans to discard in 2010.

Item(s) Qty.
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Please email this application to: marchaj@gmail.com


Or mail to: Altrusa International of Montrose Inc. P.O. Box 3184, Montrose CO 81402-
3184. Attn: Janis Marcha/Environmental Committee

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