Name*

Address*

Phone*

Email*

TELL US ABOUT YOUR ORGANIZATION

Organization Name*

Organization EIN (Tax ID)

Organization Cause*
EducationHealthcareCommunityEnvironmentOther

TELL US ABOUT YOUR EVENT

Event Type*
FundraiserCommunity EventSchool ProgramOther

Date/Time

Number Attending*

Purpose*

Please upload a letter on organizational letterhead or event flier*

If a business, please upload your 501(c)(3) IRS designation

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