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Thank you for considering Reliable Heating & Air for your local community charity or sports team sponsorship. Dan Jape, CEO, serves on the board of several local charities that serve children. Service is a passion for Reliable.

To help best assess how we can help you and your organization please download this document and send filled out to along with any other documents you would like to provide.

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Organization Contact Information

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Organization Contact Information

Is this organization a certified 501 © 3 corporation or other charitable organization under the U.S. Internal Revenue Code? *

If yes, please attach documentation showing the most recent certification.

Please explain the organization's purpose

if applicable, attach any relevant literature or information.

Requested Contribution

Reason for Request

Attestation and Statement of Understanding

I attest that the information in this application and its attachments is true and accurate and this request is not made for the purpose of influencing any governmental or legislative decision or for any unlawful purpose.