REQUEST FOR DONATION FORMNORTHERN PLAINS DANCE
Organization Name:
*
Contact Person:
*
First Name
Last Name
Phone:
*
Format: (000) 000-0000.
Address of Requesting Organization:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email (required):
*
example@example.com
Address to mail requested item (if different from above):
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Organization Type (select as many as apply)
*
Education
Arts
Social Service
Healthcare
501c3
Other
Event Type (select as many as apply)
*
Dinner
Social Gathering
Online
Contest
Raffle
Other
How will the donation be used?
*
Drawing
Live Auction
Silent Auction
Gift
Other
Event Date:
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Estimated Event Attendance:
*
Ticket Price for Event:
*
Last date to be included in marketing materials:
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Marketing Materials Needed:
*
Can you donate to our fundraising events?
*
Yes
No
If so please describe:
*
Do you know someone associated with NPD?
*
Yes
No
If so, did they refer you to us?
*
Specifics of request:
*
1416 E Front Ave Bismarck, ND 58504 701.530.0986 dance@northernplainsdance.org
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