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Donation Request Form

NOTE: For ongoing donations to your Organization, click here for more information

 

Gift Certificate Donation - GUIDELINES

  1. Autism on the Seas will offer a Gift Certificate (between 10% and 25%) for the first two people on a reservation, for any one of our Staffed Cruises, for any qualifying donating organization.Free Lit
  2. One donation per calendar year will be approved to each organization only, but might be limited to once every two years depending on the total number of donations provided in each year (to be determined upon each request).
  3. All donations are subject to be denied if our annual donation budget has been reached (to be determined upon each request).  If you are denied, you may re-submit the following year.
  4. In order to qualify for the donation, the organization must be a not-for-profit, have a 501 c3, focused on autism and supply us with a Tax ID #.
  5. Each donated Gift Certificate must be included in an auction or fundraising event.
  6. Autism on the Seas needs to have its information on display (pictured to the right) during the event, and/or Autism on the Seas must be listed as a sponsor on event literature.

Gift Certificate - Donation Request Form

DONOR CONTACT INFORMATION This is the person/organization who is requesting the donation
First Name*
Please let us know your name.

Last Name
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Phone Number
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Your Email*
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ORGANIZATION INFORMATION
Organization Name
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Organization Website
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Street Address
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Address con't
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City
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State of Residence (or Country):
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Zip Code
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Not for Profit ?
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Tax ID #
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EVENT INFORMATION
Name of Event
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Date of Event
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Location of Event
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How many people are expected at event?
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Describe how you will use the Cruise Discount Certificate
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LITERATURE/SPONSORSHIP
Choose one or both:

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Date you would like to have the literature in hand
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Please send me:

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Questions or Comments
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Security Code
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