Donations

Charitable Donation Request

Group or Organization planning the event

Event Title

Event Date

Event Time

Event Address

Event City, State, & Zip

Additional Event Locations?

Event Stops

Event Insurance Company

Policy # Covering Event

Event Contact Info

*First Name

*Last Name

Phone

Email

Event General Info

Number of Years it has been held

Expected number of Attendees

Admission Cost

Will the event proceeds benefit another organization? Yes No

If yes, Is That Organization A Qualified Charity Under IRS Code Section 501(c)(3)? Yes No

What Percentage of The Proceeds Will Be Given To The Organization?

Any other sponsors?

How would you like us to participate?

Have We Participated In The Past? If So, How?

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