Organization InformationName of organization* Address of organization* Address Line 1 Address Line 2 City State ZIP Code What is the focus of your organization?* Contact at OrganizationContact Name* Phone*Email* Request Details What is the request for? Event Program Annual Campaign Name of event or program Date of event or program MM slash DD slash YYYY Type of donation or sponsorship request Raffle item Cash donation If a cash donation, amount requested How would the donated item or funds be used?How many people will directly benefit from the event or program? What communities or counties are being served by the event or program? How does your organization recognize donors?Upload event or program flyerMax. file size: 50 MB.Provide any additional information or comments.CaptchaNameThis field is for validation purposes and should be left unchanged. Δ
