South Bend Venues Parks & Arts Donation Request Form
Please note that it may take up to 10 business days for your request to be evaluated. If you have any questions regarding your request, please contact Amy Roush at aroush@southbendin.gov.
Email address *
Name of organization *
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Name of person submitting request *
Your answer
Contact Phone Number *
Your answer
Event Date *
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DD
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YYYY
Event Name/Title *
Your answer
Event Location *
Your answer
Explanation of event *
Your answer
Due date of requested materials? *
MM
/
DD
/
YYYY
Specific details of what you're requesting from Venues Parks & Arts? *
Your answer
Size of your target audience? *
Your answer
Other companies/organizations involved? Please be specific. *
Your answer
A copy of your responses will be emailed to the address you provided.
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