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2. Thank you for supporting Keep Emanuel Beautiful (KEB)! Your generosity helps KEB continue its mission of keeping Emanuel County clean, green, and vibrant through clean-up campaigns, beautification projects, and sustainability initiatives. By filling out this form, you're joining that effort.

6. Donation Type*

   Indicate which you're donating on behalf of:

   1. Individual (Self)
   2. Individual (Other)

   1. Business
   2. Church

   1. Civic Group
   2. Other Type of Nonprofit

   1. Anonymous
8. Name of Donating Party*
9. Donating Party's Mailing Addres*
11. Would you like to appear in our donor acknowledgements?*

    1. Yes

    1. No
12. If "yes," how should the donor's name appear?
14. Donating Party's Phone Number*
15. Donating Party's Email Address*
17. Form Applicant Information

    If you are completing this form on behalf of a company, someone else, or if your information is different than that of the donating party, fill out the fields below:

19. Form Applicant's Name
20. Form Applicant's Mailing Address
22. Form Applicant's Phone Number
23. Form Applicant's Email Address
27. Donation Amount
    Indicate the amount you wish to donate:
28. 1. - $1
    2. - $5
    3. - $10
    4. - $25
    5. - $50

    1. - $100
    2. - $250
    3. - $500
    4. - $1,000
30. Quantity
31. Shipping Cost
32. Taxable
34. Donation Purpose

    As a 501(c)3 nonprofit, KEB provides donors the option to specify how their contributions should be used. Donations designated for specific purposes, known as restricted donations, are used exclusively for those initiatives. Unspecified donations are treated as unrestricted, allowing KEB to address its most pressing needs.

    If you have a specific purpose you'd like your donation to fund, please indicate it. If you do not indicate a specific purpose, KEB will receive it as an unspecified donation and allocate the funds with discretion.

    If you select "Other" as your donation purpose and want to specify a unique project or initiative, please use the short-answer field to provide details about how you would like your contribution to be used.

    1. Clean-Up Campaigns
    2. Beautification (Murals, park enhancements, historic restoration projects, etc.)

    1. Sustainability Programs
    2. Outreach (Advertising, leave-behind brochures, billboards, etc.)

    1. Supplies (Pick-up sticks, vests, trash bags, etc.)
    2. Other
36. Please describe your intended purpose for this donation.
40. Agreement Section

    By submitting this form, you, the form applicant, confirm the following:

    1. You have read this form in its entirety and understand how donations to Keep Emanuel Beautiful (KEB) will be allocated.
    2. The funds submitted through this form are voluntarily contributed to KEB, a 501(c)3 nonprofit organization.
    3. You have the authority to donate these funds and have indicated any specific purpose for the donation as needed.
    4. If you are completing this form on behalf of someone else, you confirm that you are authorized to act on their behalf.

    Please acknowledge your agreement by providing your electronic signature.

42. Electronic Signature Agreement

    By checking the "I agree" box, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

44. I Agree*

    1. Electronic Signature
46. Form Applicant Name*
47. Date*
    Date
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