Cruise Certificate - Donation Request

Cruise Certificate Donation - GUIDELINES

Autism on the Seas offers a Cruise Certificate (between 10% and 25%) for the first two people on a reservation, for any one of our Staff Assisted Cruises, for any qualifying Special Needs related organization.
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 a given year (to be determined upon each request).
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.
In order to qualify for the donation, the organization must be a an organization focused on autism or special needs.
Each donated Gift Certificate must be included in an auction, raffle or fundraising event.
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.

Cruise 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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Your Role (or title) with Organization

Please write a subject for your message.

Phone Number

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Your Email*

Please let us know your email address.

ORGANIZATION INFORMATION

Organization Name*

Please write a subject for your message.

Organization Website*

A valid website is required

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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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:

We will display your Literature at our Event (Literature will be sent to you free of charge)

We will make you a Sponsor. Describe what this entails:

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Date you would like to have the literature in hand

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Please send me:

"Autism on the Seas" Sign

Brochures (With Holder, as shown in picture above)

Business Cards (With Holder, as shown in picture above)

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Questions or Comments

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Security*

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