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
MM
/
DD
/
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?
Your answer
A copy of your responses will be emailed to the address you provided.
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