Time to Give Back.

Organization Name

Website

Tax ID

Name and Title of Contact Person

Phone Number

Your Email

Hosting Organization if different from Charity

Mailing Address

City

State

Zip

Event Name

Event Date: (Must be received at least 45 days prior to event date)

Event Location

Event Description (specifics, the cause, who benefits etc.)

Describe the Purpose of your organization

Items to be used for (auction, raffle prize, etc.): Items to be used for (auction, raffle prize, etc.):FoodGift CardSponsorshipRaffle Auction ItemGive Back Fundraiser hosted at Wooden Paddle

Is the Organization a 501(c) 3 organization (non-profit)? Is the Organization a 501(c) 3 organization (non-profit)? Yes No

Is the Organization a local chapter of a national charity? Is the Organization a local chapter of a national charity? Yes No

Is the Organization a customer of Wooden Paddle? Is the Organization a customer of Wooden Paddle? Yes No