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Donation Request

  • Organization: *

  • Is your group tax exempt?: *

  • Event Name: *

  • Event Date: *

  • What would you like us to provide?: *

  • What is the purpose of the event?: *

  • How many people are expected to attend the event?: *

  • What will the donation be used for?: *

  • When are the funds needed?: *

  • Upload any materials that would help explain more about your organization or request. Please include a copy of your organization’s W9 form: *
    (Acceptable Formats: .pdf, .doc, .docx, .xlsx, .png, .jpg, .jpeg, .gif, .tiff)

  • Who would pick up the donation if one is approved?: *

  • Are you willing to post photos of your event on The Ziegenfelder Company's social media sites?: *

  • Is there anything else we should know? : *

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