Wichita Thunder Donation Request Form
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1W
T
ICHITA
HUNDER
D
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F
ONATION
EQUEST
ORM
Please refer to the community section on our website
for the donation guidelines. Due to the high volume of requests for
donations all guidelines must be followed to assure continued fairness of contributions that the Wichita Thunder makes in the community. In order
to be considered, requests must be received a minimum of 4 weeks prior to the event. Completion of this form does not guarantee a donation.
Organization Name:
Address:
County:
City:
State:
Zip:
Telephone:
(
)
-
Fax:
(
)
-
Event Date:
Tax Exempt # / 501c3 (attach documentation):
Contact Name:
Contact Telephone: (
)
-
Email Address:
Event Name:
Event Location:
Event Description - Please be specific, who benefits, the cause etc. . .
Item to be Used For:
Door Prize
Live Auction
Raffle
Incentive
Silent Auction
Other:
I herby certify that a) the information provided in this request and the supporting documents are correct to the best of my knowledge
and b) that the Internal Revenue Service 501(c)3 determination has not been modified, revoked, cancelled or allowed to expire and c)
donations will be used for the project/purpose outlined in the application and agreed to by both parties and d) I agree to the appearance
guidelines specified on .
Signature:
Date:
Please return this completed form, along with an event flyer and/or any other information to:
Wichita Thunder - Donations
505 W. Maple, Suite 100, Wichita, KS 67213
Phone (316) 264.4625 | Fax(316) 264.3037
Or Email Form To:
Would you like to be contacted regarding group nights
YES! Please email me information!
and/or fundraising opportunities?
Not at this time.
For Wichita Thunder Use Only:
Approved:
Rejected:
Date Filled:
Approval:
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Parent category: Business