Donations Request Form

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Please fill out this request form and our review team will get back with you.

Contact Information
Name of Organization*
Is your organization a non-profit or public tax-exempt organization as defined under Section 501(c)3 of the Internal Service Revenue Code*
- Yes
- No
If Yes, Please enter the tax id number of the 501(c)3 organization
Organization Address*
Street AddressAddress Line 2CityState / Province / RegionZip / Postal CodeCountry
Organization Website
Name*
FirstLast
Email*
Enter EmailConfirm Email
Phone*
Organization Profile
State Mission of Organization*
Please provide a brief overview of the services provided by the organization and the demographics of the population served.*
What is the reach of the organization*
Does the organization have any ties to any of the fields the Discovery Science Center is involved in?*
- Science
- Technology
- Engineering
- Math
- Other
If other, please explain.
Has the organization received a donation from Discovery Science Center in the past?*
- Yes
- No
If yes, please describe when and where the donation was used.
Event Details
What is the name of the event?*
Where will this event take place?*
Street AddressCityState / Province / RegionZip / Postal Code
What is the date of the Event?*
MM
DD
YYYY
What is the expected attendance at the event?*
How do you intend to use Discovery Science Center tickets?*
When do you need to recieve the donation?*
MM
DD
YYYY
Please attach a donation request letter on an official letterhead from organization headquarters.*
Additional Comments

Discovery Science Center