Donation Request - Colonial Downs + Rosie's Gaming Emporium Donation Request - Colonial Downs + Rosie's Gaming Emporium

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Rosie's Vinton Entrance

ROSIE’S GIVES BACK DONATION REQUESTS

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)
- Banner Space
- Public Address/Band Announcements
- Included on Event Posters, Flyers
- Included on Event T-shirts
- Logo on Invitations
- Logo on Paid Ads (Specify Radio, TV, Web or Print)
- Included in Media Releases
- Naming Rights (Indicate What Would be Named)
- Display Booth or Table at Event
- Other Recognition
Select Media For Logo Placement:
- Radio
- TV
- Web
- Print
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)
- Community Event: Entertainment - FREE
- Community Event: Entertainment
- Community Fundraiser
- Team Fundraiser
- Dinner, Lunch, Breakfast
- Children's Event
- Performing Arts
- Educational
- Golf Outing
- Special Project
- Other
(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)
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Phone
This field is for validation purposes and should be left unchanged.

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