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Please complete the form below. If this is regarding a donation request, please complete separate form.

Name

First Name

Last Name

Subject

Message

Name

First Name

Last Name

Organization

501 (c)(3) Status and Tax ID

Date of Event

YYYY

Deadline for Donation Submission

YYYY

Event Description

Please note all donation requests must be made 60 days in advance.

Website of Organization and/or Event

http://

Donation Description

What are you requesting and how will this donation be used?

Expected Attendance

Expected Benefits to Community

Who will this benefit and how?

Is this event public or private?

Public

Private

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