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? *

Yes No

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 Auction Live Auction Raffle

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

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 payment instructions.

Print Donation Request Form