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Donation Request Form

The Royals are happy to make in-kind donations to charitable organizations who positively impact our community. Please fill out and submit the form below at least four weeks prior to the event.

NOTE: As of February 12, 2016, requests sent via U.S. Mail, fax, or e-mail will not be accepted. Due to the volume of requests, the Royals restrict our donations to organizations that reside within our six state drawing area (Arkansas, Iowa, Kansas, Missouri, Nebraska and Oklahoma). Items will be sent to the organization address, not residences. A submitted request does not guarantee a donation. Only one donation per organization, per year, will be granted.

Please note that all fields marked with an asterisk (*) are required.

 Organization Information
* First Name * Last Name
Company Name Contact's Name
* Address Address 2
* City * State
* Zip Code  
* Day Phone Evening Phone
Mobile Phone
Enter your mobile phone information to receive text messages & updates from and (Optional, if checked, 'Mobile Phone' must be provided). Msg&Data Rates may Apply. Reply "Stop" to cancel. Text "Help" or email for assistance. Expect 1-2 messages per week.
* Birth Date
* E-mail Address
   I would like to receive commercial e-mails from and

 Event Information
501(C)(3)#: * Event Name:
* Beneficiary: * Event Date:
* Projected Attendance:  
  * Item To Be Used For (Please Check All That Apply):
 Door Prize
 Silent Auction
 Live Auction
 Other (describe below)

* Event Description: (500 character limit)

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