Drag Queen Bingo Beneficiary Application
Drag Queen Bingo, “DQB,” is a non-profit 501(c)(6) fundraising activity. Please review the agreement terms prior to submission of this application. The DQB Selection Committee reserves the right to seek additional information prior to approval of application.
Name of Organization
*
Website
Organization Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Contact Number
*
-
Area Code
Phone Number
E-mail
*
example@example.com
501(c)(3)ID #
*
Year Established
*
Year of Last Audit
*
Annual Revenue
*
Upload copy of your W-9
*
Browse Files
Cancel
of
Board Members
*
Key Leadership Contact
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Mission of Your Organization
*
Why do you want to host a Drag Queen Bingo Night?
*
Additional text box below if needed
Are you interested in becoming a member of the Rainbow Chamber?
*
Yes
No
Already a Member
Event Date
Drag Queen Bingo is held on the first Thursday of each month. Provide your 3 top choices of months when you would like to host in the next 12 months. (Beneficiaries typically are scheduled at least six months in advance, so you may not get your first choice of months.)
Date
*
-
Month
-
Day
Year
Date
Date
*
-
Month
-
Day
Year
Date
Date
*
-
Month
-
Day
Year
Date
Please rank the months you have selected by your preference. (1 being your preferred month overall)
*
EX: 1. January 2. August 3. September
Signature, Beneficiary Representative
*
Date
*
-
Month
-
Day
Year
Date
Beneficiary Rep. Printed Name
*
First Name
Last Name
Contact Email
*
example@example.com
Contact Phone # for EVENT DATE
*
-
Area Code
Phone Number
Agreement Terms
Beneficiaries may not participate in Drag Queen Bingo more than one time in any calendar year. Beneficiaries must complete and submit an application for participation for each Drag Queen Bingo event. Applicants will be reviewed and selection made by the Chamber’s Drag Queen Bingo Selection Committee. All Non-profits will be required to join the Rainbow Chamber as a non-profit for $200.00 per year. Application and payment may be made night of the event if selected.
Submit
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