Satek Winery Donation Request Form Page 2
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1
2Event name _________________________________________________
Description of event (attach additional information if necessary):
Who or what is the beneficiary of the funds raised?
Anticipated attendance _______ Donation needed by
_____/_____/_____
Donation requested:
o gift certificate
o merchandise/gift basket
o check
o sponsorship (please attach additional information)
st
You will be contacted by the 1
of the month (of the month of your event) as to the status
of your request. You may fax this completed form to us at (260) 495-4633, email to
, or mail to: Satek Winery, 6208 N. Van Guilder Rd., Fremont,
IN 46737. Please direct to the attention of Jason Satek.
For office use only:
Date received _____/_____/_____
o
Denied (reason:_________________________________________________)
o
Approved
o
Gift certificate (value $ _____; certificate # _____)
o
Merchandise/gift basket (value $ ______)
o
Check (amount $ _____)
o
Sponsorship (amount $ _____)
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Parent category: Business