Blue Dog Print Donation Request Form

Blue Dog Print Donation Request Form
To be considered for a print donation, please complete the form below. If approved, you will receive instructions on payment and pickup/ shipping via the email within one (1) business day. If you have any questions, please contact GRFA at 504-324-9614 or info@georgerodriguefoundation.org
Your Organization
Non-profit organization name*
Street address:*
Street address line 2:*
City:*
State:*
Zip code:*
Organization web address
Contact Person
First name:*
Last name:*
Phone number:*
E-mail:*
Is your organization a non-profit or public tax-exempt organization as defined under Section 501(c)(3) of the Internal Revenue Code?*

YesNo
Federal Tax ID number*
Description of event:*
What specific benefits/outcomes will be realized with this donation?*
How do you plan to use this print to raise funds for your organization?*

Silent AuctionLive AuctionRaffleOther
Please attach any additional information about your organization that you"d like for us to review. (optional)

Select File

Cancelof
How did you hear about this program?*
Once this form is submitted, please allow one (1) business day for a response. If approved, we will send you ordering instructions.
Should be Empty: