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United States
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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
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Alternate Name
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Is there a different name, DBA or chapter?
Doing Business As or Chapter:
Year Established
National Taxonomy of Exempt Entities (NTEE) Code
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--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
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Org Contact First Name
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Last Name
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Title with the Organization
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Organization Address
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City
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State/Province
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Primary Organization Email
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Primary Organization Phone
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Website
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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
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First Name
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Last Name
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Email Address
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Primary Phone
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Cell/Other Phone
Title/Relationship to Organization
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Company
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Event Details
Event/Program Name
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Short Description
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Event Start Date
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Event End Date for Multiday Events (optional)
Event Location and Address of Event
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(include Street, City, State and Postal Code)
Number of Guests
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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
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Live Auction
Silent Auction
Raffle
Other
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(non-monetary for fundraising purposes only)
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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.)
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I confirm that I am 14 years or older
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