Donations Form

Name of Organization*

Event Date*

Contact Person*

Phone*

Email*

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

How did you find us?

How did you hear about the Coeur d'Alene Casino Resort Hotel's Contribution Program?

What type of donation request?*

What will the proceeds from the donation be used for?*

(Specifically described who will benefit, and how they will benefit)

Please attach your cover letter and/or any event and fundraising flyers.

Drop files here or

Max. file size: 10 MB.

Name

This field is for validation purposes and should be left unchanged.