Charitable Donation Request Form
Thank you for the opportunity to become involved with your organization's fundraising campaign.

Please fill out the following questionnaire to let us know about your event and what you might be looking for from Airhouse. Our General Manager's will review your submission and decide if we can participate.

Airhouse receives hundreds of requests for assistance every year and we cannot provide support for all the requests that are submitted to us. We are selective of which events we will participate in, so even if you have a great program/event we may not be able to help out.

We wish you all the success with your upcoming fundraising event.

Email address *
Name of person submitting request *
Your answer
Phone number of Person submitting request *
Your answer
Location for Requested Donation *
Name of Charity (Beneficiary) *
Your answer
Name of Company organizing Charity Event *
Your answer
Name of Event *
Your answer
Address *
Your answer
Contact Name in charge of the Event *
Your answer
Contact Email of person in charge of Event *
Your answer
Contact Phone of person in charge of Event *
Your answer
Description of event and how funds from the donation will be used *
(ie. Fundraiser, Tournament)
Your answer
What will the donation be used for? *
Required
Actual Date of Event, Program or Activity *
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Time
:
Date you are requesting our donation by. *
MM
/
DD
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YYYY
Time
:
Is this an annual event? *
Estimated number of attendees *
Demographic information about the attendees *
Please include information of who will be at the event and might see the donation plus where our name would be used in marketing and who the audience might be for that marketing.
Your answer
Is there a charge for people to attend? *
If there is a charge, how much?
What is the cost for a single ticket?
Your answer
Are you expecting Media coverage or sponsorship? *
(If so, please list below)
Radio, TV, Print or Web?
Your answer
Will you provide profile for Airhouse in any printed materials (event programmes, advertising etc.) Yes (if so, please list) *
Your answer
Is there opportunity to display Airhouse banner? *
Please add any additional information here...
Your answer
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