Charitable Donation Request Form General Information This form should be completed and submitted electronically. Requests should be submitted 2-4 weeks in advance to allow time for review. Due to the large number of requests, the Ben Hogan Golf Equipment Company is unable to guarantee a response to all donation requests. Today’s Date ____________
Organization Information _______________________________
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Name of Organization
EIN/Tax ID #
501(c)(3) status since
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Mailing Address
City
State
Zip Code
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Telephone Number
Organization Website
Contact E-Mail Address
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Name of Contact
Title or Relationship to Organization
Contact Number
Has the organization received support from Ben Hogan? ____
When? ______
Items Received? _________
Program Information ______________________________________________________
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Event Information
Items Requested
______________________________________________________________________________ Purpose of Support
______________________________________________________________________________ How will the funds raised for the program/event be used?
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Community the program will serve
Expected number of people to attend
Date of program/event
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Signature of Applicant
Date