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Tri-County Electric Cooperative, Inc. is a BBB Accredited Electric Company in Hooker, OK
Date of Application: 2/7/2012

Charitable Giving Application

Please review our guidelines to make sure your request fits within our parameters.

Organization Name:
Mailing Address:
City: State: Zip:
Contact Name:
Contact Phone: Contact Email:

Request is for: Amount Requested:

County or area that contribution will benefit:

Choose One:

Describe your request in detail, including information about how these funds will benefit the community and whether Tri-County Electric will receive any recognition for their contribution:

Date Needed By:(mm/dd/yyyy)

Have we donated to your organization in the past?

If so, what/how much and when?

Describe your organization and how it benefits the community:

What recognition or advertising will Tri-County Electric receive?

If available, Tri-County Electric contact name:

Additional Information or Notes:

Once clicking submit, your information will be transmitted to Tri-County Electric.