Anicca Float Club Donation Request Form

Thank you for your request!

We evaluate all requests upon completion of the form below.

We will reply to the contact person provided if we have reviewed and accepted your request.

Organization Name

Tax ID

Enter 501(c)(3), Federal E.I.N., School ID or other applicable identifier

Year Established

Organization Type

Contact Name

First Name

Last Name

Relationship to Organization

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email Address

Phone

(###)

###

####

Website

http://

Organization's Event Name/Description

Please indicate the name of the specific event and tell us a little about what it is all about

Date

YYYY

What are you requesting?

Donation Will Be Used for:

Event Location

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Number of Guests Anticipated

Twitter

Please indicate the Twitter account that should be mentioned by our social media team for this event. Use @aniccafloatclub for any media mentions related to this event.

Facebook

Please indicate the Facebook account that should be mentioned by our social media team for this event. Use @aniccafloatclub for any media mentions related to this event.

Anicca Float Club Donation Request Form

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