Donation Request

Today's Date

Name of Organization

Non Profit Tax ID#

Contact Name

Email

Phone

Address

City/Town

State/Province

ZIP/Postal Code

Event Name

Event Date

Select ONE of the following donations

A one-year family membership ($60 value)

Four family guests passes ($40 value)

Donations are limited to one of the two choices above, once annually per organization. Allow two weeks from submission date for processing.