Hearts & Heroes Nomination Form

Thank you for your interest in our Hearts & Heroes Award. Thornton & Grooms will award $1,000 each and every month to a local 501(c)(3) charity. Please complete the following information to help us in our review and selection process.

We are a 501(c)(3) Charity, Please Consider Us
Name of Organization
Contact Person
Address
City
State/Province
Postal Code
Email address
Phone Number ( )
Employer Identification Number
Please tell us about your organization and mission
Why do you believe you should be selected?
If selected, how would you use the $1,000 award?
Are there any other comments you would like to add?
  

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