Routing Number #211489494

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Community Giving Application for Support

Date of Application

Organization Name

EIN #

Purpose of Organization/Objectives

Event Date/Deadlines

Type of Support/Amount Requested

Other Materials Requested

Groups/Communities Served by Organization's Program

Are you requesting support from other credit unions or financial institutions?

Yes, I am requesting from others.
No, I am not requesting from others.

If so, please list

Are you a GSCU member?

Yes, I am a GSCU member.
No, I am not a GSCU member.

How did you hear about GSCU?

Make Check Payable To

Contact Name

Phone

Mailing Address (Street Address, City, State, and Zip Code)

Please include any sponsorship information.

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Community Giving Application for Support

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GSCU Routing Number: 211489494

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