Riot Hospitality Group

Donation Request Form

"*" indicates required fields

Organization

Organization Type*

Organization Name*

EIN*

Organization's Website

Address*

City*

State*

Zip*

Primary Contact Name*

Email*

Phone*

Title/Role with Organization

Your Birthdate

Applicants must be 14 or older to submit requests

Referred By

Referred By Email

Event Information

Event Program Name

Short Description

Event Start Date

Event End Date

Estimated # of Attendees

Address

City

State

Zip

Item Requested Will be used For:

Live Auction Item

Silent Auction Item

Raffle

Shipping Information

Type of Address

Residential

Business

Address

City

State

Zip

Additional Comments

Website/URL