Gift Certificate Request

Project Request - Gift Certificate Request

Your Name *

Phone Number or Ext

In-hand due date (ONE WEEK MINIMUM FROM DATE OF SUBMISSION) *

Name of non-profit requesting certificate *

Contact name (first & last) at non-profit *

Non-profit's mailing address *

Non-profit's Tax ID # OR enter 'Outreach' for Community Events, Annual Campaign, etc

Date of non-profit's event *

Type of event (ex. Banquet, Raffle, Auction, Fun Run, etc.) *

Type of certificate needed

Membership

Day Passes

Program

Type of Membership (1 month Family, 3 month Family, etc.)

How many day passes?

Name of program and length (1 session, 1 class, etc.)

Delivery of certificate *

Send to me and I will deliver to organization

Mail to organization

Notes or other information?

File Upload (optional)

Maximum file size: 33MB

If you uploaded a file, please provide description of file (Procurement Form, Event Flyer, Letter From Organization, etc.)

If you are human, leave this field blank.