Satek Winery Donation Request Form

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Satek Winery
-Donation Request Form-
th
Instructions: Please fill out completely and submit by the 15
of the
month prior to the month of the event for which you are requesting
the donation. To be considered, you must meet the following criteria:
Non-profit organizations only (must submit a copy of your Federal Tax ID
stating you meet non-profit status)
Cannot be an organization sponsoring or benefitting minors (conflict of
interest since we make and sell wine)
Priority will be given to Steuben County-based organizations and need-
based causes
Charitable event must benefit more than a single individual
Only one donation per event
Cannot be benefitting political issues or campaigns
Forms must be filled out completely and submitted by the deadline
Date submitted _____/_____/_____
Date of event _____/_____/_____
Name of Organization
_________________________________________
Contact person
_______________________________________________
Mailing Address
______________________________________________
City/State/Zip
________________________________________________
Daytime phone number (_____) ___________________
Fax number (_____) ____________________________
Non-profit/501-C-3 status?
YES* or NO (please circle)
* Federal Tax ID# (required) ____________________________

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