Member  No.   
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Community Affairs

Your Name
   

Phone Number
Email Address

Tax-exempt ID Number
Hollywood Casino Player Number

Organization Name
 
Organization Website

Reason for Request
 
Name of Function
 


Date of Function


Address

Who exactly benefits from your organization?
What is their age? Where do they live?

How exactly will your target audience benefit
from our organization?

What type of volunteer opportunities do you offer?

What are you requesting? (dollars, in-kind, volunteers, etc.)

What staff time and/or resources (if any) are needed
from Hollywood Casino?

Are there any opportunities for Hollywood Casino such as
visibility, co-marketing, gala tickets, etc.?

Why should Hollywood Casino support your organization?