Fun-Plex Donation Request Form
Your Name *
Your answer
Organization Name *
Your answer
Email Address *
Your answer
Phone Number
Your answer
Tax ID Number *
Your answer
Address to send passes to if approved: *
Your answer
Description of your event and or organization *
Your answer
By submitting this form, I verify this organization is a federally licensed 501(c)(3) not-for-profit charitable organization, and is located in Nebraska or Iowa. Please note that Fun-Plex prioritizes requests from organizations with a mission that is focuses on the medical needs of children. See our website for complete donation request requirements.
I accept *
Required
Submit
Never submit passwords through Google Forms.
This form was created inside of Fun-Plex. Report Abuse - Terms of Service