Ava's & Theo's Donation Request Form
Name *
Your answer
Organization Name *
Your answer
Address *
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City *
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State *
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Zip *
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Phone Number *
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Email *
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Organization Web Site *
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Organization Tax ID#
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Provide a brief description of your organization & your organization's mission, not the donation request. *
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Who will your request benefit? *
Required
Through what means would we be supporting your organization? *
Briefly describe your donation request *
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Deadline Date for Request *
MM
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DD
/
YYYY
Deadline Date for Advertising Artwork (if applicable) Copy
MM
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DD
/
YYYY
Please include any details regarding advertising page size, ad size, file format and other requirements.
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