Charitable Donation Requests
ORGANIZATION NAME
*
REQUESTOR NAME
*
First Name
Last Name
MAILING ADDRESS
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
TELEPHONE
*
Please enter a valid phone number.
Format: (000) 000-0000.
EMAIL
*
example@example.com
EVENT TITLE
*
EVENT LOCATION
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
EXPECTED NUMBER OF PARTICIPANTS
*
TAX ID NUMBER
*
HAS YOUR ORGANIZATION RECEIVED A DONATION FROM ARCADIA BLUFFS IN THE PAST?
*
YES
NO
DESCRIPTION OF THE EVENT AND DONATION REQUEST
*
I CONFIRM THAT MY ORGANIZATION IS A NONPROFIT AND WILL PROVIDE PROOF OF TAX EXEMPTION WITH TAX ID NUMBER IF ACCEPTED
*
YES
NO
Submit
Should be Empty: