In Kind Donation Request Form

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IN-KIND DONATION REQUEST FORM
Completion of this form is a request only and does not guarantee a donation.
.
All requests must be submitted at least four weeks prior to the event
Please fill out completely.
Organization_____________________________________________________________
Type: (Please circle) Charity
Church
Civic
School
Other
Address_________________________________________________________________
City________________________State___________Zip_________County___________
Telephone_____________________________Fax_______________________________
Contact Name_______________________________Contact Phone_________________
Contact E-mail address_____________________________________________________
On-site Contact Name and Telephone (cell phone)_______________________________
Event Name or Type of Event_______________________________________________
Requesting: (Please check)
Tickets
Merchandise
Event Sponsor/Underwriter_________________________________________________
Event Date:_________________________ Event Time: From:________ To:_________
Event Location/Address____________________________________________________
City_______________________State_______Zip__________County_______________
Detailed Event Description _________________________________________________
________________________________________________________________________
________________________________________________________________________
Event Size _______________________
Participant Age Range___________________
Please return completed form by mail or fax to:
Courtney Gay, Community Relations Manager
512 Main Street, Suite 411
Fort Worth, Texas 76102
Phone (817) 698-8333 Fax (817) 885-7325

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