Boston Celtics Donation Request Form – Fill Out and Use This PDF

Boston Celtics Donation Request Form

The Boston Celtics Shamrock Foundation benefits children directly through community programs that provide year-round academic and developmental support. The Shamrock Foundation focuses its support on New England-based organizations that provide healthcare, shelter and vital services for children in need.

Please note:

1.We do not verbally deny or commit to donation requests; correspondence will be via mail.

2.You will be notified either way at least 2 weeks before the date of your event.

3.Organizations may only receive one donation per calendar year.

4.Requests MUST be received at least 6 weeks prior to the date of the event.

5.Due to limited resources, we are only able to support organizations operating in New England.

Please answer all questions ~ Incomplete forms will not be considered

1.Today’s Date:_________________________________ 2. Date of Event:___________________________________

3.Organization Name:____________________________ 4. Tax ID # (if applicable):___________________________

5.Brief Event Description:____________________________________________________________________________

6.Primary Contact Name:_________________________ 7. Phone:_________________________________________

8.Email:_______________________________________ 9. Mailing Address (No P.O. boxes): ___________________

__________________________________________________________________________________________________

10.	This item should be:		□ Mailed to Contact		□ Picked-up by organization			□ Other__________________
11. This item is for:		□ Silent Auction		□ Live Auction		□ Raffle	□ Other_________________________
12. Have you ever received a donation from the Boston Celtics?						□ Yes	□ No

13.If so, when?______________________________ 14. If so, what was the item?____________________________

15. Are you interested in a Boston Celtics License Plate to benefit Children’s Hospital Boston?	□ Yes	□ No
16. Can we mail you information on our License Plate Incentive Programs for youth groups?	□ Yes	□ No

As always, will do our best to provide as many organizations as possible with donations, knowing that there are

deserving programs that will unfortunately not receive our support. Please continue your great work!

___________________________________________________________________________________________

Please attach all event paperwork, flyers, and/or write-ups and mail or fax to:

The Boston Celtics

Attn: Community Relations

226 Causeway Street

Boston, MA, 02114

Fax: (617) 722-4114

QUESTIONS? Please call (617) 624-4922