Fun-Plex Donation Request Form
Your Name *
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Organization Name *
Your answer
Email Address *
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Phone Number
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Tax ID Number *
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Address to send passes to if approved: *
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Description of your event and or organization *
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By submitting this form, I verify this organization is a federally licensed 501(c)(3) not-for-profit charitable organization, is located in Nebraska or Iowa, and has a mission that is focused on children.
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