Coventry Blaze Charity Request Form

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The Coventry Blaze aim to support as many registered and not-for profit groups in the West Midlands as we can. However, we do receive a large amount of charitable requests and therefore submitting this form does not guarantee that you will receive a donation. Where possible we will donate a family ticket (two adult and two under 16’s) but these are limited, and so providing all of the required information below is an important first step for your request to be successful.

Your name

Email address

Telephone number

Charity fundraising for

Charity address

Your position at the charity (if applicable)

Charity registration or VAT registration number

Event details

Date of event

YYYY

Event details (please provide as much information as felt appropriate to support your request)

How will our contribution be used?

Have you contacted the club previously this season regarding an event at your charity?

Yes

Not sure

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COVENTRY BLAZE PRIVACY POLICY

http://www.coventryblaze.co.uk/fanzone/coventry-blaze-privacy-policy

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