DONATION REQUEST
To be considered for a charitable donation, please complete the form below.
Name of Organization
*
Street address:
Street address line 2:
City:
State:
Please Select
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OR
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Zip code:
Organization website
Contact Person
First name:
*
Last name:
*
Phone number:
*
Email:
*
Brief Description of Organization
*
Is your organization a non-profit or public tax-exempt organization as defined under Section 501(c)(3) of the Internal Revenue Code?
Yes
No
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DONATION REQUEST
Requested item or amount:
*
Description of event:
*
Where and when will the event take place?
Event Website
When do you need to receive the donation?
*
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Month
-
Day
Year
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What specific benefits/outcomes will be realized with this donation and/or event?
Please attach any forms, flyers or information which may be helpful in our evaluation process
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