Donation Request - Colonial Downs + Rosie's Gaming Emporium

This request form has two sections:

Section 1 provides us the basic information about your organization and your mission, as well as information on how Rosie’s team members can recognize their partnership in your event or program. Section 2 provides details on what type of contribution you are seeking.

Section 1: Organization Information

Organization Name(Required)

Contact Person Name(Required)

First Last

Contact Person Title(Required)

Phone(Required)

Email(Required)

Mailing Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Under what IRS section do you qualify as a non-profit? (e.g. 501(c)(3))(Required)

Section 2: Contribution Details

Tell us about your area of need.

Does this event or program support any other community organizations? If yes, please specify

At the requested level, how would Rosie’s receive recognition?(Required)

(Check all that apply)

Select Media For Logo Placement:

Radio

Web

Naming Rights (Indicate What Would be Named)

(Please Specify)(Required)

Event or Project Name:(Required)

Event Date(s) or Timeline:(Required)

How many years has the event/project taken place?(Required)

What is the scope of event/project and who does it benefit?(Required)

What is the primary purpose for this event?(Required)

(Please Specify)(Required)

We need:(Required)

Volunteers

Food & Beverage

Event Planning Assistance

Food and Drink Advice

A Place for the Event

Cash Donation

Co-sponsorship

Number of Volunteers Needed:(Required)

Food & Beverage for how many people?(Required)

What kind of food & drink?(Required)

Cash Donation Requested(Required)

Co-sponsorship Donation Requested(Required)

Please tell us how we can help with your event, organization or both?

Which Rosie’s is closest to you?(Required)

IRS Form W-9 Attachment(Required)

Please attach your IRS Form W-9 to fully evaluate your request.

Drop files here or

Accepted file types: pdf, Max. file size: 50 MB.

IRS 501(c)(3) Letter of Determination Attachment(Required)

Please attach yourIRS 501(c)(3) Letter of Determination to fully evaluate your request.

Drop files here or

Accepted file types: pdf, Max. file size: 50 MB.

Other Attachments

Please attach the organization’s mission statement, a list of sponsorship levels, if applicable, and any additional explanations to questions on this application if necessary. Complete a separate form for each request.

Accepted file types: pdf, Max. file size: 50 MB.

Completed form should be submitted on or before the dates below:
Events within these months:
October, November, December due by 5PM on August 15
January, February, March due by 5PM on November 15
April, May, June due by 5PM on February 15
July, August, September due by 5PM on May 15

Terms & Conditions(Required)

Review the terms and conditions associated with receipt of the requested donation by clicking HERE.

I have read and agree to the Terms and Conditions.

Signature and Title of Requesting Organization Representative:(Required)

Donation Requests

ROSIE’S GIVES BACK DONATION REQUESTS

Section 1: Organization Information

Section 2: Contribution Details

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