Donation Request Form | Golden Eagle of Arkansas

First Name*

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Last Name*

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Email Address*

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Phone Number*

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Name of Organization*

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Name of Event*

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Event Location*

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Address Line 1*

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Address Line 2

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City*

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State*

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Zip Code*

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Please tell us about your event.*

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Date & Time of Event*

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Expected Attendance*

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Please Specify

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Type of Request (check all that apply)*

Please Specify

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What products (Excluding Golden Eagle of Arkansas) will be at the event?*

Beer

Wine

Liquor

Other

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Will alcohol be purchased for use at the event?*

YesNo Invalid Input

Did Golden Eagle participate in the event last year?*

Yes

No

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501(C)3 Number*

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Please upload a copy of your 501(C)3 Certificate

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By submitting this form, I verify that my organization has 501(C)3 tax exempt status.

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