Charity Request Form

Please provide the information requested below to schedule or record your campaign event and request charity participation, if applicable. Fields marked with asterisks (*) are required, but the more detailed information you are able to provide, the better.

Please allow 14 days for processing
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Please provide a brief description for events, i.e. talent show, bake off contest
Please let us know if tables, chairs, electrical outlets available, Wi-fii, LAN Internet Access etc are available.
Facility Name
Street Address
Suite or Floor
Please include the typical time for processing guests for entry into your facility and any travel time that may be required once they have been screened.
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Please include the typical time for processing guests for entry into your facility, whether an escort is needed, what type of identification is required, and any travel time that may be required once they have been screened.