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Minor Hockey/Ringette Donation Requests
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Requester Primary Contact Information
The person completing this form who wishes to receive email updates should be entered here
Prefix
*
First Name
*
Last Name
*
Email Address
*
Primary Phone
*
Cell/Other Phone
Title/Relationship to Organization
*
Company
Country
*
Street
*
(No PO boxes please)
City
*
State
/
Province
*
Zip/Postal Code
*
Next
Event Details
Event/Program Name
*
Short Description
*
Event Start Date
*
Event End Date for Multi-day Events (optional)
Event Location and Address of Event
*
(include Street, City, State and Postal Code)
Number of Guests
*
Less than 50
50-100
100-200
200-300
300-400
400-500
500-1000
More than 1000
Not Applicable
Age Range of Guests
*
Next
Donation Request Form
Item donated will be used for
*
-- Select --
Live Auction
Silent Auction
Raffle
Other
Please specify
*
(non-monetary for fundraising purposes only)
Shipping Options
I will pick up item from #300, 10224 104 Ave NW, Edmonton, AB T5J 4Y8
Ship to address below
Address to where donation should be mailed (If possible, please provide a commercial mailing address)
Address Type
Residential
Commercial
Address
*
City
*
State
/
Province
*
--
AA
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AR
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AZ
CA
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CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MH
MI
MN
MO
MP
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
PW
RI
SC
SD
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
Zip/Postal Code
*
Country
*
Next
Confirmation
Attachment (optional): Add any additional files that may be helpful for this request
For example Event flyer and your organization tax exempt letter
(Click on Upload File button to attach multiple documents. The files should be selected from a folder on your computer. The files will be listed under the attachment box. Files will be uploaded when you click submit. Attachments must be in one (1) of the following formats: Pdf, doc, docx, xls, xlsx. Limit the file size to less than 10MB.)
Comments
I confirm that I am 14 years or older
Submit Request
Submit Request
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This form will expire after 2 hours.
A DonationXchange account will be created and provided in the confirmation email for tracking purposes.