Organization Name
Tax ID #
Type of Organization: Business, Church,Non Profit, School, Sport Team, or Other(Please Explain)
Organization Address
City
State
Organization Phone #
Fax #
Contact Name
Contact Phone
Contact Title
Contact Email
Event Name
Event Purpose
Event Date
Event Time
Event Location
Donation Use: Door Prize, Raffle, Auction, or other (please explain)
Your Message
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