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Alexis Hotel Donation Request Form
Organization Info
* Denotes required fields
* Organization Country:
USA
Canada
*
Tax ID
:
Zip
:
* Organization Name:
Year Established:
* Organization Type:
-- Select --
Other
Activities Initiatives
Advocacy Organizations Influencing Public Opinion
Arts and Entertainment
Business and Professional Organizations
Civic Initiatives
Conservation, Environmental and Beautification
Cultural, Historical or Other Educational Organizations
Education, Schools, Colleges and Related Organizations
Employee or Membership Benefit Organizations
Farming and Related Organization
Health Services, Wellness and Related Organizations
Housing Organizations
Inner City or Community Organizations
Legislative and Political Organizations
Litigation and Legal Aid Organizations
Mentoring Organizations
Military Organizations
Other Activities Directed to Individuals
Other Instructions and Training Organizations
Other Organizations
PTA and Booster Clubs
Religious and Faith Based Organizations
Scientific Research Organizations
Social Services
Sports Organizations
Youth and Family Organizations
Youth Football
Youth Sports
* Name of Benefit Fund:
(i.e. John Doe Benefit)
Partner Bank or Credit Union:
(partnering with benefit)
* First Name:
Last Name:
(i.e. CEO, President, Executive Director, or Development Officer at the Organization)
* Street:
(No PO boxes please)
* City:
State
:
--
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NV
NU
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TT
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
* Primary Email:
* Primary Phone:
* Mission Statement:
Website:
Requester Contact Information
* First Name:
Last Name:
* Email Address:
* Primary Phone:
Cell/Other Phone:
* Title/Relationship to Organization:
Organization's Event Details
* Event Name:
* Description:
(Please enter an event description that is not specific to this donor or donation request. You may use the comments below for additional details)
* Event Date:
* Event Location:
* Number of Guests:
* Event Sponsor/Underwriter:
(if no event sponsor/underwriter, please enter N/A)
Request Details
* Item donated will be used for:
-- select an option --
Live Auction
Silent Auction
Raffle
Giveaways
Other
Please specify if other:
Attach a Document:
Select
/
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Please attach the following documents:
• Certified 501(c)(3) document (Not Tax-Exempt form)
• Documents that describe your event, or any other related document.
(Click on Browse button to attach multiple documents. Files will be uploaded when you click submit. A maximum of three attachments will be saved. Attachments must be in one (1) of the following formats: Pdf, doc, docx, xls, xlsx. Limit the file size to less than 4MB.)
Referred By:
(if applicable)
Please enter the contact name of the person at this organization who requested you to submit your request. Leave blank if no one referred you.
Comments:
Address to where item should be mailed (If possible, please provide a commercial mailing address):
Mailing address is same as above
Specify mailing address below
* Address:
(No PO boxes please)
* City:
State
:
--
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NV
NU
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TT
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Zip
:
* Country:
*Please Note*
Submission of this request does not guarantee that your request will be fulfilled.
To review the status of your request at any time, please login with your user name and password, which will be emailed to you shortly. Status of requests will not be received over the telephone.
This request system has been implemented to decrease our carbon footprint and to help protect our environment. We appreciate your support. Thank you.
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