Grand Falls Casino - Golf Resort Donation Request Form
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1Grand Falls Casino & Golf Resort®
Donation Request Form
Grand Falls Casino & Golf Resort® is a proud member of Lyon County and is dedicated to helping those in our
community and surrounding areas. If your non-profit organization or fundraising event is interested in a donation,
please complete the donation request form below. All requests must be made in writing, by completing this form. You
may mail, email or fax this form to:
Grand Falls Casino & Golf Resort®
ATTN: Jean Vande Weerd
1415 Grand Falls Boulevard
Larchwood, Iowa 51241
FAX: 712-777-7771
PHONE: 712-777-7777 ext. 3005
Due to the large number of requests that we receive, please submit your donation request no later than 2 weeks prior
to your event or activity. Organizations located in the immediate surrounding area will be given top priority.
Event Information
Name of Organization:
_____________________________________________________________________
501 (c)(3) Tax ID Number:
___________________________________________________________________
Name of Event:
____________________________________________________________________________
Date and Location of Event:
_________________________________________________________________
Contact Information with Mailing Address of Organization
Organization:
________________________________________ ATTN: _____________________________
Address:
_________________________________________________________________________________
City, State, Zip:
____________________________________________________________________________
Telephone:
___________________________ Email: ____________________________________________
Type of Donation Request
_____ Financial Contribution
_____ Auction/Drawing Item
_____ Other
Please briefly note how this event will benefit our community:
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