Donation Request Form

Honey Creek Golf Club is committed to helping local charity events for schools, churches and non-profit organizations. Due to stringent requirements for financial reporting, the attached form must be completed in its entirety and your group/event must meet all stated criteria to be eligible for any donations.

Donation Request Form Guidelines/Requirements

• Your request must include your tax ID # for your organization.
• Your request must include an official printed flyer, posting or mailing of the event stating the type and date of event.
• The request must be received 2 weeks in advance of the event and be submitted by email, mail or by person.
• The request MUST be submitted on the Honey Creek Donation Form, no other request will be considered.
• All request approved will be gift certificates for a specific offer and will not be redeemed for cash.

If you have any questions regarding the completion of the Honey Creek Golf Club Donation Form you may submit them via email. Due to the high number of submissions, unfortunately we are unable to respond to each donation. If your donation is approved, you will be contacted to arrange for pick up.

Sincerely,
Honey Creek Golf Club

Donation Request Form

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Today’s Date *

Group Website *

Organization Making The Request *

Phone *

Contact People and Email Addresses *

Address

Address Line 1

Address Line 2

City

— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Event Information

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Date of the Event *

Number of Expected Participants *

Name, Location & Brief Description *

Is the event within 20 miles of Honey Creek Golf Club *

• Yes
• No

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How will the donation be used? (silent auction, raffle) *

How will the funds raised be applied? *

How will you be publicizing your event? *

How will Honey Creek’s Donation be recognized? *

Phone number to arrange pick up: *

Organization Information

Please provide a brief history of the requesting organization/group along with its purpose and mission: *

Has Honey Creek ever donated to your request organization before? *

• Yes
• No

If yes, please explain

Is your organization a public or private establishment? *

• Public
• Private

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What type of service does your organization provide? *Health & Human ServicesArts & CultureEducationalEnvironmentalCivic & CommunityOther

If Other

The undersigned hereby certifies that:

• (a) The information in this application and supporting documents are correct to the best of his/her knowledge.
• (b) Donations will be used for projects outlined in the application and agreed to by both parties.
• (c) The undersigned also acknowledges that completion and submission of this form do not guarantee a donation.

Person Filling This Request (You) *

Submit