Fundraising Form
Request Type:
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Please Select Charity Type
Fundraising Night
Food Donation
Local Sports Sponsorship
Gift Card
First Name:
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Last Name:
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Phone:
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Email:
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Legal Organization Name
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Organization's Federal Tax ID Number (Hyphen Required; ex. 12-3456789)
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Street Address
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City
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State
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Zip
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Date Needed By (Selected Date Must Be at Least 14 Days from Today)
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Additional Comments or Feeback: