Inquiry Form
Delta Dental of Minnesota supports projects where we operate and serve in order to strengthen our communities, and promote healthy lives and brighter futures for all. Please note eligible organizations must be: A tax-exempt nonprofit under 501(c)(3) of the Internal Revenue Code, or a governmental entity with a comparable designation. Located in Minnesota or the Native Nations or reservations that share the same geography
Name of Organization
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Contact Person at Organization
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First Name
Last Name
Email
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example@example.com
Phone Number
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Please enter a valid phone number.
County
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City
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Zip Code
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Please limit your inquiry to 5000 characters.
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Acknowledgement
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By submitting this form, you agree that the data you supply to Delta Dental of Minnesota (a) will be used for the purpose of evaluating your inquiry and for reference and archival purposes in accordance with Delta Dental of Minnesota’s policies and (b) does not constitute a contract or agreement with Delta Dental of Minnesota.
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