Organization Name

501(c)(3) Tax ID

First Name

Last Name

Email

Phone

Event Date

Event/Fundraiser Name

Deadline to Participate

Description of event including where it will take place:

Items requested for donation with quantity desired. (Note: Food donations are calculated at approximately three adults or four children per pizza.

How will this donation be used?

Has GattiTown provided donations to this event before? If yes, when?
Yes? - When?

What, if any, form(s) of advertising will GattiTown receive? Please specify all types including quantity.

Comments:.