Donation Request

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Name of Organization* This field is required.
2
Type of Organization:* This field is required.
Please Select
Please Select
American Cancer Society
American Heart Association
Animal Shelter
Festival/Celebration
Fire/EMT/Police Department
Fraternity/Sorority
Hospital/Medical Facility
Individual, not an organization
Library
Non-profit
Red Cross
Relay for Life
School
University
3
Has your organization received a donation from Omaha's Henry Doorly Zoo & Aquarium in the last year?* This field is required.Organizations are limited to one donation from the Zoo per calendar year (January 1 - December 31).
4
Type of Event:* This field is required.
Please Select
Please Select
Annual Fundraiser - School
Annual Fundraiser - Church
Annual Fundraiser - Non-Profit
Festival or Carnival
Gala or Banquet
Sports Fundraiser
Competition Travel Fundraiser
Library Reading Program
Music Program Fundraiser
Post Prom
Medical Expense Fundraiser
Fire Department or EMT Fundraiser
Weather Relief Fundraiser
Other (please describe in additional comments)
5
Name of Event* This field is required.
6
Date of Event* This field is required.Please submit your request no more than 2-3 months prior to the date of your event. Events further out than 3 months will be denied and you will have to resubmit your request closer to your event date. If accepted, your tickets automatically expire one year from the date that they are printed. Requests for date changes on tickets cannot be made. Fundraisers taking place less than 3 weeks from submission date will be denied due to processing time.
Date
Month
Day
Year
7
Event Contact and Title* This field is required.
8
Phone Number* This field is required.
Area Code
Phone Number
9
Event Contact's E-mail* This field is required.
10
Mailing Address* This field is required.ONLY organizations in Nebraska and Iowa will be accepted.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
11
What is the reason for this fundraiser?Examples of Requests We May Support - School, music, sports, and church fundraisers - Animal-related events - Community programs (summer reading library programs, hospitals, fire/EMT departments) - Medical expense fundraisers - Registered nonprofit (501(c)(3)) fundraisers Examples do not guarantee approval. We Are Unable to Support Requests For - Political fundraisers - Door prizes, giveaways, post-prom, or free raffles - Requests outside the eligible states - Requests submitted too early or too late - Multiple requests from the same organization in one year
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Large
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12
For what use are you requesting Zoo admission tickets?* This field is required.Donated tickets must be used to directly fund raise for the organization. Qualifying donations are eligible to receive a family four-pack of admission tickets to Omaha's Henry Doorly Zoo and Aquarium. We are unable to donate Zoo memberships, gift cards, special event tickets, or tickets to Wildlife Safari Park.
Silent Auction
Live Auction
Raffle Item
Door Prize
Other (please describe use in the comment section below)
13
How do attendees acquire the raffle tickets?* This field is required.
Attendees are being given raffle tickets at NO CHARGE in order to have a chance to win the raffle prizes.
Attendees are required to PURCHASE raffle tickets in order to have a chance to win the raffle prizes.
14
How do attendees acquire the door prize?* This field is required.Requests for door prizes given without monetary gain to the fundraiser will be declined.
Attendees are eligible to win a door prize at NO CHARGE because event admission is FREE.
Attendees are are eligible to win a door prize ONLY IF they have purchased event admission.
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Additional Comments
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