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Request for Donation or Advertisement

At Sam's, we take great pride in supporting the communities in which we serve. We receive many requests for donations and advertisements in support of charitable causes. While charitable contributions and community support is an important part of our mission, the volume of these requests far exceeds our financial capabilities. This form is not designed to deter requests, but rather to more fairly divide the amounts we are able to contribute. Please take a few moments to download and to fill out this form. Please mail your completed request to the address at the bottom of the form or fax to 782-3827. You may also e-mail your request as an attachment (Word Format) to: Completed forms may also be dropped off at any Sam's location.

Requests must be received at least one week prior to the event.

Due to volume, we are not able to respond to all requests.

Donation Request Form (Word Format)

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