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Form preview Chattanooga athletics departme... Chattanooga Athletics Department Donation Request Form The University of Tennessee at Chattanooga is proud to assist in the fundraising efforts of charitable organizations. To assist with the processing of your request please complete this form and return it along with a statement of your organization s non-profit 501 c 3 status to the Chattanooga Athletics Marketing Department using one of the following two methods Mail McKenzie Arena Dept. 3503 Chattanooga TN 37403-2598 Fax 423 425-2160 This form must be submitted a minimum of two weeks prior to the event for which the item s are being requested* Upon review you will be notified by an athletics representative as to the status of the request. Charitable Organization Information Name of Organization Contact Person Phone Fax Email Address City State Zip Item Purpose/Event Information Item s Requested Sport s Purpose for which Item s Requested Is this a fundraising Event Circle One YES NO If yes date of event Brief Description of Event Beneficiary of funds Will these funds raised benefit anyone in 9th grade or above Circle One Acknowledgement of Charitable Organization In accordance with NCAA bylaws The University of Tennessee at Chattanooga is not permitted to participate in fundraising activities that will benefit a prospect-aged student or group Individuals 9th grade or above. By signing below you affirm that you understand the conditions of this donation* Further you accept responsibility for ensuring that the donated item s will be used only in the manner described above. The donated item s may not be given to any prospective student-athlete and the proceeds generated from the donated item s may not be used to benefit any prospect or group of prospects. Name please print Title Signature Date Athletics Dept. Use Only Date Request Received Approved Denied By Date. To assist with the processing of your request please complete this form and return it along with a statement of your organization s non-profit 501 c 3 status to the Chattanooga Athletics Marketing Department using one of the following two methods Mail McKenzie Arena Dept. 3503 Chattanooga TN 37403-2598 Fax 423 425-2160 This form must be submitted a minimum of two weeks prior to the event for which the item s are being requested* Upon review you will be notified by an athletics representative as to the status of the request. 3503 Chattanooga TN 37403-2598 Fax 423 425-2160 This form must be submitted a minimum of two weeks prior to the event for which the item s are being requested* Upon review you will be notified by an athletics representative as to the status of the request. Charitable Organization Information Name of Organization Contact Person Phone Fax Email Address City State Zip Item Purpose/Event Information Item s Requested Sport s Purpose for which Item s Requested Is this a fundraising Event Circle One YES NO If yes date of event Brief Description of Event Beneficiary of funds Will these funds raised benefit anyone in 9th grade or above Circle One Acknowledgement of Charitable Organization In accordance with NCAA bylaws The University of Tennessee at Chattanooga is not permitted to participate in fundraising activities that will benefit a prospect-aged student or group Individuals 9th grade or above.
Form preview Zingermans donations form DONATION REQUEST FORM Zingerman's strives to be a good corporate citizen. The Zingerman's Guiding Principles state that it is our chosen responsibility to make substantial and significant contributions
Form preview University of toledo body dona... ANATOMICAL DONATION PROGRAM AUTHORIZATION FORM FOR ANATOMICAL DONATION Mr. Mrs. Ms. Print or type full legal name of Donor I the Donor being eighteen years of age or older and of sound mind with the intention of helping others do hereby willfully and voluntarily make an anatomical gift of my body to take effect upon my death. This gift is made to the Anatomical Donation Program of The University of Toledo College of Medicine the University which is housed in the Department of Neurosciences 3035 Arlington Avenue Toledo OH 43614-5804. This gift is made to the Anatomical Donation Program of The University of Toledo College of Medicine the University which is housed in the Department of Neurosciences 3035 Arlington Avenue Toledo OH 43614-5804. I reserve the right to void this donation at any time through written notification to the University. I understand that through this donation my body will not be available for any public or private memorial or funeral service at the time of my death because my body will need to be immediately transported to the University. ANATOMICAL DONATION PROGRAM AUTHORIZATION FORM FOR ANATOMICAL DONATION Mr. Mrs. Ms. Print or type full legal name of Donor I the Donor being eighteen years of age or older and of sound mind with the intention of helping others do hereby willfully and voluntarily make an anatomical gift of my body to take effect upon my death. This gift is made to the Anatomical Donation Program of The University of Toledo College of Medicine the University which is housed in the Department of Neurosciences 3035 Arlington Avenue Toledo OH 43614-5804. I reserve the right to void this donation at any time through written notification to the University. I understand that through this donation my body will not be available for any public or private memorial or funeral service at the time of my death because my body will need to be immediately transported to the University. I also understand that bodies are not suitable for educational or scientific purposes following an autopsy. If an autopsy is required by the Coroner the Anatomical Donation Program will still accept my remains but they may not be used for educational or scientific purposes and will be cremated immediately. I direct that immediately following my death the person or institution in charge of my body notify the Anatomical Donation Program at the University by telephone 419-383-4109 or 419383-3770 in order to carry out this gift. The exact use of my anatomical gift will be at the discretion of the University. I understand that my body may be used for education research or advancement of medical science and health care conducted at the University or may be loaned to other health centers or educational institutions for use in their education or research endeavors. The Anatomical Donation Program reserves the right to retain tissues and organs of interest for educational and/or research purposes. I further understand that the University may also use my anatomical gift in the development and dissemination of educational media/products that may have a commercial value to which I agree to give up any and all rights that may be claimed by my estate and heirs.
Form preview Church donation forms Church In-Kind Donation Form Please help us accurately process and acknowledge your donation: *Print clearly *Complete the entire form *Provide a fair market estimate of your donation. Per IRS regulations,
Form preview Donation request form duke uni... DUKE UNIVERSITY ATHLETICS Donation Request Guidelines Donation Requests Duke University Athletics receives several hundred requests for memorabilia, merchandise, and autographs from organizations
Form preview Butler donation request form Will there be any commercial sponsorship of the event If yes how is the commercial entity involved in this activity If yes what type of advertising or promotion will be involved Mail or fax completed form along with a written letter on organization letterhead of the request to Sports Marketing Department Donation Request 510 W. 49th St. Indianapolis IN 46208 317 940-9808 Fax.
Form preview Donation whole form Frequently Asked Questions Which Whole Foods Market location should receive my completed donation request application The address of the non-profit generally determines the store reviewing the request. The event fundraiser or program must serve the local community. Whole Foods Market cannot make donations to political or religious organizations unless the donation will be used for a local non-secular community service-related event or program. Whole Foods Market of Foggy Bottom does not donate food to individuals individuals seeking pledges multiple requests from the same organization or causes outside the Foggy Bottom region. Past support does not guarantee future support. Foggy Bottom Donation Request Application Guidelines Giving back to our community comes naturally. We strive to support local organizations which focus on health and human services education environmental preservation hunger relief the arts and animal compassion. However each Whole Foods Market location has budgetary constraints and can only approve a limited number of the many donation request applications received. Please help us serve you and our community better by submitting your applications according to the following required guidelines Complete the attached Whole Foods Market Donation Request Application. Attach a copy of your organization s federally issued letter certifying non-profit 501 c 3 status. Due to the number of requests each store receives we request you correspond with us about your application status via email whenever possible. Complete this application after carefully reading the guidelines on reverse please print. Incomplete applications will not be processed. Name of Organization Non-Profit Federal Identification Number - Copy of 501 c 3 letter must be attached Address Contact Name Title Email Phone day Cell Fax History Mission of Organization Type of Donation Being Requested Food/Beverage Raffle Item Gift Card Nickels for Nonprofits Other Further description of request Specific products/items you are requesting Day Time of event Expected Attendance Location Please use the space provided below or attach a short letter describing how the donation will be used. How are you publicizing your event What exposure will Whole Foods Market receive How will the contribution of Have you applied for a donation at any other Whole Foods Market Yes No If yes indicate which store s when Application prepared and submitted by Name please print Title Signature Date. Submit the application at least 6-8 weeks prior to the date the donation is needed* Return only one copy of the application to the one store serving your community. Jessica Carlin Marketing and Community Relations Team Leader 2201 I Street NW Washington DC 20037 p 202. 296. 1660 f 202. 296. 1558 email Jessica*carlin wholefoods. com Please remember applications which do not meet all five above requirements will automatically be declined* Due to the enormous response to Donations and 5 Days we cannot respond to phone calls or emails regarding the status of your application* If we can help we will reach out to your organization up to three weeks prior to your event.
Form preview Fundraiser request form MAXWELL GUNTER FUNDRAISER REQUEST FORM Request form must be turned to the 42 FSS Private Org Box/Office 14 days prior to event NAME OF REQUESTER PHONE NUMBER UNOFFICIAL E-MAIL NOTICE I request authorization to hold a fundraising event on Maxwell AFB. If approved I further expressly agree to indemnify and hold the United States of America harmless from and against any and all claims loss and liability however caused arising out of or in any way connected with this event whether or not caused or contributed to by any negligence or alleged misconduct on the part of any employee of the United States or member of the United States Armed Forces. I understand should an incident occur the individual members of the requesting organization rather than the Air Force would be liable. ORGANIZATION REPRESENTED Name TIME s and DATE s OF THIS FUNDRAISER SIGNATURE OF REQUESTER DATE s OF LAST FUNDRAISER This event is 1 or 2 of this quarter. I understand each Private Organization or Unofficial Activity is authorized 2 fundraisers per quarter. DETAILS OF YOUR EVENT Example WHAT Wish to hold a bake sale car wash etc* WHERE In the BX lobby parking lot etc* PURPOSE Funds will be used to offset the cost of a unit party. Please be as detailed and comprehensive as possible attaching additional sheets if necessary. WHAT WHERE Must be in a common area PURPOSE Attach Flyer If Applicable BLDG MGR INITIALS I understand that I cannot advertise this event until the fundraiser and flyer have been approved* All printed and electronic media must contain the following disclaimer THIS IS A PRIVATE ORGANIZATION or UNOFFICIAL ACTIVITY. IT IS NOT A PART OF THE DEPARTMENT OF DEFENSE OR ANY OF ITS COMPONENTS AND IT HAS NO GOVERNMENTAL STATUS* All posted flyers must have approval to post through the facility manager of the area that they will be posted in* Under no circumstances will signs be allowed to be posted outside of any facility. fundraiser POC initials YES NO fundraiser POC initials for each item 1. The requesting organization is in good standing according to the AFI 34-223 Force Aid unless proceeds of the fundraiser are donated to the CFC or AFAF 3. I understand that all participants must be volunteers not in uniform If conducted during duty hours participants shall be on leave or special pass applies to both military and civilians 4. This event involves food preparation and coordination is attached coordinate with Public Health 42d ABW/JA RECOMMEND APPROVAL RECOMMEND DISAPPROVAL SIGNATURE DATE REMARKS/LIMITATIONS DECISION OF APPROVAL AUTHORITY YOUR REQUEST TO CONDUCT A FUNDRAISER AT THE TIMES AND DATES INDICATED IS APPROVED DENIED 42d FORCE SUPPORT SQUADRON COMMANDER INSTRUCTIONS 1. Appropriate coordination and approval are required for all fundraising requests. Proper coordination procedures are listed below. Please route the request accordingly to ensure the proper agencies have reviewed your request. You may not conduct or advertise your fundraising event prior to final approval* 2.
Form preview Relay for life silent auction... In-kind Donation Agreement Relay For Life of Ko olauloa Friday, April 25 Saturday, April 26, 2014 Kahuku District Park In-kind donations are so appreciated. So that we can stretch ever dollar received
Form preview Pathmark charitable donations... Donation Request Form A&P donates a limited number of gift cards to non-profit organizations that support the education, health and welfare of children. Donation Request Organization Tax Exempt
Form preview Kalahari donation request form KALAHARI RESORT DONATION PROGRAM FOR NON-PROFIT ORGANIZATIONS ONLY PLEASE THANK YOU Thank you for allowing Kalahari Resort the opportunity to assist your organization Due to the overwhelming amount of donation requests we have designed the following program to accommodate all organizations. Certificates will be mailed out within two weeks after we receive your request and payment. Please contact us if your organization is interested in our donation program and we would be glad to assist you in purchasing your gift certificates. We look forward to hearing from you Best Regards Krista Baker Donations Kalahari Resorts 7000 Kalahari Drive Sandusky OH 44870 Phone 419. We look forward to hearing from you Best Regards Krista Baker Donations Kalahari Resorts 7000 Kalahari Drive Sandusky OH 44870 Phone 419. 433. 7917 Fax 419. 433. 5054 Sanduskydonations kalahariresorts. com BLACKOUT DATES Not valid on Friday Saturday or on Holidays Spring Break Easter Memorial Day Weekend July 4th Labor Day Weekend Thanksgiving - Weekend December 24-31 January 1-4. DONATION REQUEST FORM Purchaser Information Name of Organization Date of Event Contact Person Address City State Zip Phone Send To Information Name If you would like the gift certificate sent directly to recipient Certificate and Waterpark Passes Purchased Tax Exempt circle YES NO Pricing Exempt Non-Exempt Desert Room/sleeps 4 Limit 1 African Queen Suite /sleeps 6 Limit 1 All Day Waterpark Passes Limit 6 131. Our donation is in the form of a reduced room rate for two of our most popular rooms. Our Desert Room is one of our basic rooms that have two queen beds and a sofa sleeper. This room will comfortably sleep four people and allows admission to our 173 000 square foot waterpark for all four guests. Our African Queen Suite is a two-room suite with a king bed in the master bedroom two queen beds in the second bedroom and a queen sofa sleeper in the living room* It also comes with a fireplace three televisions two bathrooms and a large patio or balcony with table and chairs giving you beautiful views of our outdoor waterpark. This suite allows admission for six to the waterpark. We would like to offer you the Desert Room at much reduced rate of 110. 00 per night and our African Queen Suite at 160 per night tax and resort fees not included* Please see donation request form for actual totals. Each certificate would be valid twelve months from the date of your function* Restrictions include weekends and holidays and they would not be valid on any specified blackout dates see below. Maximum purchase of one night per room will apply for your event and organization* Please be aware we do have some weekends with 2 night minimum stays so the full rate would apply for any additional night stayed* Also available we are offering waterpark day passes which allows entrance into the waterpark at a reduced rate of 20 per pass limit is 6 total. These passes cannot be used on Saturdays and are limited to first come first serve at the waterpark entrance.
Form preview Sponsorship donation form Schlotzsky s Sponsorship/Donation Request Form Please complete and return this request form along with a cover letter on your organization s official letterhead and include a copy of your 5. Program/Event Information Event Date Estimated Number of Attendees Cities/Counties Served Event Coordinator/On Site Contact Event Location Physical Address page 1 of 2 Event E mail Address if applicable/different from above Event Phone Number if applicable/different from above Event Fax Number if applicable/different from above Request Information What would you like Schlotzsky s to donate Please be specific. Has Schlotzsky s donated to your organization/event in the past Yes No If yes please specify the program/event type and amount of sponsorship/donation and date. How will Schlotzsky s be recognized as a sponsor for your organization/event Please return this request form cover letter and a copy of your 5. Please allow at least two weeks for a response. The submission of this request form does not obligate Schlotzsky s Franchise LLC in any way or manner. Organizational Information Federal Tax ID 5. 01 c 3 nonprofit Yes No Contact Name Title Organization Address City State Zip E mail Address Phone Number Fax Number Please describe the purpose of your organization and its primary beneficiaries. Program/Event Information Event Date Estimated Number of Attendees Cities/Counties Served Event Coordinator/On Site Contact Event Location Physical Address page 1 of 2 Event E mail Address if applicable/different from above Event Phone Number if applicable/different from above Event Fax Number if applicable/different from above Request Information What would you like Schlotzsky s to donate Please be specific. Has Schlotzsky s donated to your organization/event in the past Yes No If yes please specify the program/event type and amount of sponsorship/donation and date. 01 c 3 certification if applicable. Any information regarding your program event or organization may also be included* This request form should be submitted at least four weeks prior to your event. Please allow at least two weeks for a response. The submission of this request form does not obligate Schlotzsky s Franchise LLC in any way or manner. Organizational Information Federal Tax ID 5. 01 c 3 nonprofit Yes No Contact Name Title Organization Address City State Zip E mail Address Phone Number Fax Number Please describe the purpose of your organization and its primary beneficiaries. Program/Event Information Event Date Estimated Number of Attendees Cities/Counties Served Event Coordinator/On Site Contact Event Location Physical Address page 1 of 2 Event E mail Address if applicable/different from above Event Phone Number if applicable/different from above Event Fax Number if applicable/different from above Request Information What would you like Schlotzsky s to donate Please be specific* Has Schlotzsky s donated to your organization/event in the past Yes No If yes please specify the program/event type and amount of sponsorship/donation and date.
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