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Intro
Please note: This form must be filled out completely and accurately -- including all demographic information -- to be considered for a donation. Failure to do so will result in an automatic declination.
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Pick Organization Country and Type
Country
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Åland
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Gabon
Gambia
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Germany
Ghana
Gibraltar
Greece
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Luxembourg
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Macedonia, The Former Yugoslav Republic Of
Madagascar
Malawi
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Maldives
Mali
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Mauritius
Mayotte
Mexico
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
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Palau
Palestine
Panama
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China
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Pitcairn
Poland
Portugal
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Tanzania
Philippines
Reunion
Romania
Russian Federation
Rwanda
Saint Kitts And Nevis
Saint Lucia
Saint Vincent And The Grenadines
Samoa
San Marino
Sao Tome And Principe
Saudi Arabia
Scotland
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia And The South Sandwich Islands
South Korea
Soviet Union
Spain
Sri Lanka
St. Helena
St. Pierre And Miquelon
Sudan
Suriname
Svalbard And Jan Mayen Islands
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Thailand
Togo
Tokelau
Tonga
Trinidad And Tobago
Tunisia
Turkey
Turkmenistan
Turks And Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
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Uruguay
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Vanuatu
Vatican City State
Venezuela
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Yemen
Zambia
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Organization Type
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Organization Info
Please fill out any missing organization information below.
Organization Name
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Tax ID
If you know the Tax ID it will speed up the processing and verification of your request.
Zip/Postal Code
*
Is there a different name, DBA or chapter?
Doing Business As or Chapter:
Year Established
National Taxonomy of Exempt Entities (NTEE) Code
*
--Select--
Agriculture, Food, Nutrition
Animal related
Arts, Culture, and Humanities
Civil Rights, Social Action, Advocacy
Community Improvement, Capacity Building
Crime, Legal Related
Disease, Disorders, Medical Disciplines
Educational Institutions
Employment, Job Related
Environmental Quality Protection, Beautification
Health—General & Rehabilitative
Housing, Shelter
Human Services
International, Foreign Affairs, and National Se...
Medical Research
Mental Health, Crisis Intervention
Mutual/Membership Benefit Organizations, Other
Philanthropy, Voluntarism, and Grantmaking
Public Safety, Disaster Preparedness and Relief
Public, Society Benefit
Recreation, Sports, Leisure, Athletics
Religion, Spiritual Development
Science and Technology Research Institutes
Social Science Research Institutes
Unknown
Youth Development
Mission Statement
*
Org Contact First Name
*
Last Name
*
Title with the Organization
*
Organization Address
*
City
*
State/Province
*
Primary Organization Email
*
Primary Organization Phone
*
Website
*
Principal Individuals and Board Members
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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
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Company
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Event Details
Event/Program Name
*
Short Description
*
Event Start Date
*
Event End Date for Multiday 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
*
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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
If you are requesting that items be shipped, please enter your shipping information below:
I will pick up item from Player 15 Headquarters 475 E. Lincoln Street Phoenix, AZ 85004
Ship to address below
Address to where donation should be mailed (If possible, please provide a commercial mailing address)
Address Type
Residential
Commercial
Address
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City
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State
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Province
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AA
AE
AK
AL
AP
AR
AS
AZ
CA
CO
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
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United States
Afghanistan
Åland
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua And Barbuda
Argentina
Armenia
Aruba
Ascension Island
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia And Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote D'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
European Union
Falkland Islands
Faroe Islands
Federated States of Micronesia
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard And Mc Donald Islands
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia, The Former Yugoslav Republic Of
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
China
Peru
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Tanzania
Philippines
Reunion
Romania
Russian Federation
Rwanda
Saint Kitts And Nevis
Saint Lucia
Saint Vincent And The Grenadines
Samoa
San Marino
Sao Tome And Principe
Saudi Arabia
Scotland
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia And The South Sandwich Islands
South Korea
Soviet Union
Spain
Sri Lanka
St. Helena
St. Pierre And Miquelon
Sudan
Suriname
Svalbard And Jan Mayen Islands
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Thailand
Togo
Tokelau
Tonga
Trinidad And Tobago
Tunisia
Turkey
Turkmenistan
Turks And Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Vatican City State
Venezuela
Viet Nam
Virgin Islands
Wallis And Futuna Islands
Yemen
Zambia
Zimbabwe
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Confirmation
Attachment (optional): Add any additional files that may be helpful for this request
for example Event flyer if nothing specified (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
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