Writers Theatre Ticket Donation Request
Organization Name *
Organization Website
Organization Phone Number
Organization Street Address *
Organization City *
Organization State *
Organization Zip code *
Organization's EIN (Tax ID) # *
Contact Person (full name) *
Contact Person Title
Contact Person Phone # *
Contact Person Email Address *
What would you like us to donate? *
How would our donation be used? (i.e. as a door prize, raffle prize, silent auction item, etc.)
Name of Your Event *
Your Event Date (at which the donation will be distributed) *
Expected Attendance at Your Event (# of people)
How will our donation/organization be recognized? (i.e. mentioned in a program, online, on a sign, etc.)
Would you prefer to pick up the donation voucher package from our box office or have it mailed to you? *
Street Address (destination to which donation should be mailed)
City (destination to which donation should be mailed)
State (destination to which donation should be mailed)
Zip code (destination to which donation should be mailed)
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