What are you requesting?
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Non-Profit Pricing
Non-Profit Pricing & Donation
Donation
Sponsorship
Other
Organization Information
Organization name:
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Contact person:
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City, State, Zip:
Telephone:
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Fax:
Email:
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Are you a registered non-profit organization?
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Yes
No
501c3 Tax Id number:
Event Information
Event name:
Date of event:
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Event location:
Type of Event:
Auction
Dinner
Wine Tasting
Other Fund Raising Event
Expected number of attendees:
Catalogue deadline:
What type of donor acknowledgment will you offer?
Additional comments: