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Charitable Donation Request

Please complete the donation inquiry below. All fields are required. All charitable donation requests will be reviewed at the end of each month. The organization requesting the donation will be contacted via email, regardless of whether or not the request is approved. Please be aware that we can only process donations with a 45 day advance notification. We are not able to offer cash donations.

General Information
Organization Name:
Address Line One:
Address Line Two:
City State Zip:          
Email Address:
Organization Structure/Type:
Organization ID:
Event Name:
Event Date:
Number of Guests:
Contact Name
Contact Address Line One:
Contact Address Line Two:
Contact City State Zip:          
Contact Phone
Contact Email
Event/Donation Information
Brief Description of Meeting/Event/Function:
What exposure will Ojo Cliente receive from this donation?
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