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Donation Request
Event:
Event Date:
Select Date
Contact Name:
Email:
Address:
Estimated # of Attendees:
Previous # of Attendees:
Average Age:
Average Education:
High School
College
Masters
Doctorate
Description of Expected Media Coverage:
Donation You Are Requesting:
Are We the Event’s Exclusive Jeweler?:
Yes
No
If No, How Many Other Jewelers Will be Participating?:
What [Jewelers] Would Receive: (Check all that apply.)
Ad in program:
Size of Ad:
Name and logo on print advertising:
Publication(s):
Name and logo on TV advertising:
Station(s):
Amount of buy ($):
Mention in radio advertising:
Station(s):
Amount of buy ($):
Name and logo on banners or event signage:
Location(s):
Tickets to the event:
Number:
Box seating or use of entertainment center:
Description:
Other:
Comments:
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