E-Gift Card Donation Request Form

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* 1. Contact Information

Organization Requesting Donation *

Contact Name for Organization *

Organization Address *

Address Line 2

City/Town *

State/Province *

ZIP/Postal Code *

Country

Email Address *

Phone Number

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* 2. Event Title

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* 3. Event Date (Please enter event date in MM/DD/YYYY format).

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* 4. Response Deadline

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* 5. Brief Event Description - Please share a few sentences about your event and who it benefits.

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* 6. Will this event support a 501(c)(3) non-profit organization?

Yes.

No.

Unknown.

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* 7. If you answered 'No' or 'Unknown' to the previous question, is your organization a public high school, a public college, or a public university?

Yes.

No.

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* 8. Organization's EIN, if applicable

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* 9. If you have a formal request letter or sponsorship form, please attach it here.

PDF, DOCX, PNG, DOC file types only.

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* 10. If your e-gift card request is approved, specify where donation should be emailed.

Attention

Organization

Email Address

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* 11. Have you received a gift card donation from AEO in the past?

Yes

No

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* 12. I hereby state the organization listed above, in constitution or practice, does not discriminate against a person or group of a protected category, including but not limited to: age, gender, disability, political affiliation, race, sexual orientation, national origin, gender identity and expression, citizenship status, veteran or military status, ethnicity, or religious belief.

I agree.

I do not agree.