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Event Details

Event Name

Event Date

Benefitting Organizations

Type of Organization

Expected Number of Attendees

Organization Tax ID #

Contact Details

First Name

Last Name

Association with Organization

Organization Address

City

State

Zip

Phone

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

Yes

Which Roosters location is closest to you?

Documents

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

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How many years has the event has taken place and describe its purpose

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