Donation Requests

Name of Organization*

Organization Address*

Street Address

Address Line 2

City

State

Zip/Postal Code

Country

Your Phone Number*

Email*

Organization Structure/Type*
501c3Public SchoolOther (please specify)

Organization ID/Tax ID #*

Have you received a donation from us in the past 2 years?*
YesNo

Event Name*

Event Location*

Date of Event*

Price of Event*

Number of Attendees*

Contact Person(s) Name*

Contact Person Address*

Street Address

Address Line 2

City

State

Zip/Postal Code

Country

Contact Person Phone Number*

Contact Person Email*

This request will be used for (purpose and description of the event)*

What exposure will Riverbend Hot Springs receive from this donation?*

I understand that all requests are reviewed by our donations committee on a monthly basis and only approved requests will receive contact from us beyond acknowledgement of form completion*
yes

I understand that Riverbend Hot Springs doesn't offer monetary donations, only in-kind donations*
yes

I understand that requests must be received 60 days in advance of the event*
yes

Attach a file if any. Acceptable file types: pdf, doc, docx, txt, rtf, jpg, jpeg, png, gif

Anti-spam Quiz*
12+48=?

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