Request a Donation

Please allow up to 5 business days for us to review your request and get back to you. All fields are required unless noted as optional.

Event Details

Event Name

Please enter a valid event name.

Event Date (Must be 60 days in advance)

Please enter a valid event date.

Benefitting Organizations

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Type of Organization

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Expected Number of Attendees

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Organization Tax ID Number

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Your Contact Information

First Name

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Last Name

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Email Address

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Phone Number

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Association with Organization

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Organization Address

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Organization Address 2

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City

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State

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Zip

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Have you received a donation from us within the last year?

Yes No

Please select if you received a donation last year.

How do you plan to use the donated items?

Required field

How did you hear about Roosters donations?

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Roosters location closest to you:*

Add Documents

Please attach your supporting documentation for this request.
Examples: 501(c)(3) letter, event brochure, official request on company letterhead, etc.

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Comments

Describe the purpose of the event and how many years it has taken place

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