Shenanigans Donation Request Form
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1SHENANIGANS - Donation Request Form
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(Please attach any supporting documentation to this form)
Shenanigans values the importance of giving back to the community as well as the work of local non-profit organizations. If you are
requesting a donation, we require that you complete this form least one month prior to the date of your event. Please drop off or
mail this form along with a cover letter explaining your event to Shenanigans (Attn: Donations, 2100 Dawson Ave, La Crosse, WI
54603). All requests received will be reviewed by our Donations Committee for approval. If a donation is granted, you will be
Please note - your e-mail address is required.
notified via e-mail and will be required to pick up your donation at Shenanigans.
Date of Request:
Date of Event:
Contact Person:
Name of Event, Organization, Corporation and/or Group:
Tax I.D. #:
Event Location:
Event Address:
City:
State:
Zip:
st
nd
1
Phone:
2
Phone:
E-Mail Address:
Method of Donation Distribution:
Raffle
Silent Auction
Giveaways to Guests of Event
Other:
Donation to be Used For:
Benefit
Fundraiser
Company Picnic
Incentive Prize
Raffle/Prize
SCRIP Program
Charitable (Tax Deductible) Donation
Other
Explain how the donation you are requesting will be used at your event:
What benefits will Shenanigans receive from making this donation:
OFFICE USE ONLY
Request Approved
Request Denied
If denied, reason: ____________________________________________________
Reviewed By (Name): ____________________________________________________________________ Date: _______________
Donation Approved in Form of:
Coupon/Voucher (Describe): ________________________________________________________________________________
Qty: _____________ Expiration Date on Coupon(s)/Voucher(s): ______________________________________________
Gift Card $_____________ Qty: ____________
Blaster Card $___________ Qty: ____________
Other (Describe): _________________________________________________________________________________________
Qty: _____________ Expiration Date on Other: ___________________________________________________________
Date Donation Preparations Needed by: __________________________________________________________________________
Donation Produced by: ___________________________________________________________________ Date: _______________
Donation Picked Up at Shenanigans
Donation Mailed
Donation Dropped-off by: _____________________Date: ______
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