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DONATION REQUEST FORM
Thank you for your interest! We consider every request and we will follow up if we are able to contribute to your organization.
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* Indicates required question
Email
*
Your email
Name of organization
*
Your answer
Event Description
*
Your answer
Contact Phone Number
*
Your answer
If your organization has one, please include a web address, or social media link, so we can learn more about your organization and the work that you do!
Your answer
Type of Donation Requested
*
Gift Card
Other:
Required
If you are requesting a gift card donation, how many gift cards and of what value would you prefer?
Your answer
Confirmation requested by
*
MM
/
DD
/
YYYY
Date of Event
*
MM
/
DD
/
YYYY
Is this organization a 501(c)(3) non-profit?
*
Yes
No
Who do the proceeds benefit?
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Additional comments?
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