South Bend Venues Parks & Arts Donation Request Form
If you have any questions regarding this form or your completed request, please contact Adam Miller at amiller@southbendin.gov. Please note that it may take up to 7 days for your request to be evaluated.
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
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DD
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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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