Donation Request Form

Organization Name:*

Is your organization a registered member of USA Hockey?:*

Yes

No

Your organization must be registered with USA Hockey to submit a donation request.

Does your organization support the growth of hockey?:*

If you cannot answer "Yes" to this question, your request will not be fulfilled.

Yes

No

Do the proceeds from this fundraiser go to the growth of hockey or support hockey related activities?:*

If you cannot answer "Yes" to this question, your request will not be fulfilled.

Yes

No

When will your fundraiser take place?:

When do you need the donation?

How does this fundraiser support hockey?:*

What is the type of fundraiser? (Please be specific):*

501 (c)(3) Tax ID Number:*

Format: 99-9999999

Primary Contact First Name:*

Primary Contact Last Name:*

Email:*

Phone:*

Title/Relationship to Organization:

Address 1:*

Shipping address (No PO Boxes, please)

Address 2:

Shipping address (preferably a commercial address. No PO Boxes, please)

City:*

State/Province:*

Zip:*

What is your organization's website?:

Comments:

USA Hockey Foundation