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Donation Request Form |
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Date submitted:___________________ |
Event: ______________________________________________________________________________________________________________ |
Event date: _____________________________________________ |
Event Time: ________________________________________ |
Contact: ____________________________________________________ |
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Phone: ___________________________________________________ |
Email:_______________________________________________ |
Address: ______________________________________________________________________________________________________________
Website: ____________________________________________________
Description of event:
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Number of expected attendees:__________________ Number of employees/volunteers: _______________________
Purpose of organization benefitting from event:
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What can we do to assist with your event?
_________________________________________________________________________________________________________________________________
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Are you raising funds/donation items for an organization?
Name of organization: _____________________________________________________________________
Contact Information: _______________________________________________________________________
Non-profit: |
YES |
NO |
501(c)3: |
YES |
NO |
Tax-ID #: _________________________________________________________
Please submit form at least 4 weeks prior to event.
Submissions will be reviewed on the 1st of each month for the following months donations.
Send to AJ Jamison, Family Video Home Office, 2500 Lehigh Ave., Glenview, IL 60026