Request Donation - Emagine Entertainment

Donation requests:
Please fill out each section below, submit the form, and allow a minimum of 30 days for Emagine to respond to your donation request.
Limit one (1) request per organization within a twelve (12) month period.

Michigan, Minnesota, Illinois, Indiana, Wisconsin:
- Please fill out each section in the below form.

Date of Event*
MM slash DD slash YYYY
Organization Name*

Tax-Exempt 501 (c)(3) IRS Number*

Contact First Name
Contact Last Name*

Email Address*

Address*
Address 2

City*
State*
Zip Code*

Phone Number*

Brief Description of How Our Donation Will Benefit Your Organization

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