Donation Request

Donation Requests

Part 1: Event Information
Event Name*
Type of Event*
Other Event Type
Date of Event (mm/dd/yyyy)*
MM slash DD slash YYYY
Start Time of Event*
End Time of Event*
Part 2: Host Information
Host Organization Name*
Street Address*
City*
State*
Zip Code*
Phone Number (include area code)*
Website
Part 3: Organization Information
Federal Taxpayer ID#*
Type of Organization*
Other Organization Type
Contact Name*
Contact details same as above?
- Yes
- No
Address
State
Zip Code
Phone Number (include area code)
Fax Number (include area code)
eMail*
Part 4: Donation Information
Donation Deadline
MM slash DD slash YYYY
Donation Requested (select all that apply)*
- Raffle prize
- Auction prize
- Food Donation (picked up by organization)
- Food Donation (staffed by Mikuni)
- Monetary Donation
- Sponsorship
- Other
Other Donation Type
Questions/Comments:*
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