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DONATION FORM
First Name
*
Last Name
*
Email Address
*
Phone Number
*
Street Address
*
City
*
State
*
Zip/Postal Code
*
ORGANIZATION DETAILS
Organization/Event
*
Please tell us your organizations purpose or Mission Statement
*
Place of the event:
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Time of the event
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Please select the date you need this donation:
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Have we donated to this organization before? (If so when, please explain.)
*
DONATION DETAILS
What type of donation are you requesting?
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Monetary
Product
Other
Other
Is this a live or silent auction?
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Live
Silent
Other
Other
Will the donors be acknowledged? Is there a program book?
*
For the acknowledgement: what file format would you like us to send you our logo? (ie: jpg, pdf, eps)
Additional thoughts you may have for us to consider:
May we thank you publicly?
*
Absolutely, we would love that
No, please keep my information anonymous
Please upload your tax exempt certificate.
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