Ticket Donations
  • *
    Event date:
  • *
    Name of event:
  • *
    What is the name of your organization?
  • *
    What is your organization's street address?
  • *
    What city is your organization located in?
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    What state is your organization located in?

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    What is your organization's zip code?
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    What is your organization's phone number?
  • *
    Approximately how many lives will be touched with this donation?
  • *
    What is your organization's website?
  • *

    Name of contact person:

    (if approved, this is the person who will receive the ticket donation via email)

  • *
    Phone number:
  • *
    E-mail address:
  • *
    What is your federal tax employer identification number?
  • *
    What is your organization's mission?
  • *
    What is your fundraising goal and how will the funds be put to use?

That's all, folks!

* End page and disqualification logic can only be seen in the live survey

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