Donation Request Form

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At STARR Restaurants, we are grateful for the people and organizations that work so hard to make a positive difference in the world, and we recognize the importance of supporting such charitable endeavors.

On behalf of STARR Restaurants, thank you for the great work you do.

Please complete this form to the best of your ability.

Country *

Organization Type *

State/Province

Please fill out any missing organization information below.

Organization Name *

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?

Year Established

National Taxonomy of Exempt Entities (NTEE) Code *

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 *

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 *

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 *

Age Range of Guests *

Classification *

Select Choice #1

Choose a State *

Choose a Pick a Property *

Select Choice #2

Choose a State

Choose a Pick a Property

Select Choice #3

Choose a State

Choose a Pick a Property

Item donated will be used for *

Shipping Options

Address to where donation should be mailed (If possible, please provide a commercial mailing address)

Address Type

Address *

City *

State/Province *

Zip/Postal Code *

Country *

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

* Denotes required fields

This form will expire after 2 hours.

A DonationXchange account will be created and provided in the confirmation email for tracking purposes.

You are able to save this request as a draft on the final page of this form.

Please review all answers before submitting your request.

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Donation Request Form

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