Football Equipment Request Form

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In order to receive football equipment through the Las Vegas Raiders, you must meet the following requirements:

-Have at least one full-time staff person (all-volunteer organizations will not be considered)

-Be in existence for at least three years

-501(c)(3) tax exempt school or organization

-Participation fees of $299 or below

-If you are a school, please note: You are only eligible if your school does not charge tuition and more than half of the student body must be eligible for free/reduced lunch.

-Donation items may not be resold for profit

-Request must be made at least (2) weeks prior to estimated pickup date

-“Waiver for Liability” must be signed

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 *

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 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 18 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.

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Football Equipment Request Form

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