Request a Donation Donation Requests "*" indicates required fields Event InformationEvent Name*Type of Event*Business PresentationConferenceCrab FeedDanceDinnerGolf TournamentOther Sporting EventGraduation PartyLuncheonPrivate PartySales MeetingStaff PartyArmed ForcesTrade Show/ExhibitWine TastingOther – Enter belowOther Event TypeDate of Event (mm/dd/yyyy)* MM slash DD slash YYYY Start Time of Event*12AM1AM2AM3AM4AM5AM6AM7AM8AM9AM10AM11AM12PM1PM2PM3PM4PM5PM6PM7PM8PM9PM10PM11PMEnd Time of Event*12AM1AM2AM3AM4AM5AM6AM7AM8AM9AM10AM11AM12PM1PM2PM3PM4PM5PM6PM7PM8PM9PM10PM11PMHost InformationHost Organization Name*Street Address*City*State*AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificZip Code*Phone Number (include area code)*Website Organization InformationFederal Taxpayer ID#*Type of Organization*AcademicAnimalChildrenChurchCultural InstitutionEducationFundraisingGovernment/Public ServiceHealth CareMediaReliefRetailSportsVeterans/Armed ForcesOther – Enter belowOther Organization TypeContact Name*Contact details same as above? Yes No AddressStateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificZip CodePhone Number (include area code)Fax Number (include area code)eMail* Donation InformationDonation Deadline MM slash DD slash YYYY Donation Requested (select all that apply)* Raffle prize Auction prize Monetary Donation Sponsorship Other Other Donation TypeQuestions/Comments:*
