Donation Request Form - Ladyluck

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donation request form
First Name: ________________________________________________________________
Last Name: ________________________________________________________________
Address (city, state, zip code): _________________________________________________
E-mail Address: _____________________________________________________________
Phone: ____________________________________________________________________
Organization Name: _________________________________________________________
Tax-exempt ID Status: _______________________________________________________
Name Of Event: ____________________________________________________________
Date Of Event: _____________________________________________________________
Description Of Organization (i.e. purpose, who benefits, location): ___________________
__________________________________________________________________________
__________________________________________________________________________
What is being requested (money, sponsorship, in-kind trade, overnight stay, etc.): _______
__________________________________________________________________________
340 Main Street • PO Box 22 • Black Hawk, CO 80422 • www.ladyluckblackhawk.com
© 2014 Isle of Capri Casinos, Inc. Lady Luck, ChaChing! and Community Aces are registered trademarks of Isle of Capri Casinos, Inc.
Gambling problem? Call 1-800-522-4700.
donation request form
First Name: ________________________________________________________________
Last Name: ________________________________________________________________
Address (city, state, zip code): _________________________________________________
E-mail Address: _____________________________________________________________
Phone: ____________________________________________________________________
Organization Name: _________________________________________________________
Tax-exempt ID Status: _______________________________________________________
Name Of Event: ____________________________________________________________
Date Of Event: _____________________________________________________________
Description Of Organization (i.e. purpose, who benefits, location): ___________________
__________________________________________________________________________
__________________________________________________________________________
What is being requested (money, sponsorship, in-kind trade, overnight stay, etc.): _______
__________________________________________________________________________
340 Main Street • PO Box 22 • Black Hawk, CO 80422 • www.ladyluckblackhawk.com
© 2014 Isle of Capri Casinos, Inc. Lady Luck, ChaChing! and Community Aces are registered trademarks of Isle of Capri Casinos, Inc.
Gambling problem? Call 1-800-522-4700.

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