Request For Donation

Your request could not be submitted.

You must provide your Organization's Name to complete this form.

OK

You must provide the name of a Contact Person to complete this form.

OK

You must provide a Contact Phone Number to complete this form.

OK

The Contact Phone Number you entered does not appear to be valid.

OK

You must provide an E-mail Address to complete this form.

OK

The E-mail Address you entered does not appear to be valid.

OK

You must provide the name of the event to complete this form.

OK

You must provide the date of the event to complete this form.

OK

You must provide which type of donation you would like to complete this form.

OK

You must provide which date you will need the donation on to complete this form.

OK

You must provide an Address to complete this form.

OK

You must provide a City to complete this form.

OK

You must provide a Zip Code to complete this form.

OK

Please complete the reCAPTCHA to submit this form.

OK

Please Fill Out Your Organization's Information

* Indicates Required Field

Is your organization a 501 C3?


Have you received a donation from IP in the past?


Please Enter Your Address

What is the organization's mission statement or reason for the fundraiser?



Fundraiser Information

What state(s), county(ies), or community(ies) will this donation support?


What audience does your program serve (i.e. students, seniors, pets)?


Will the IP Casino Resort & Spa be recognized at your event?


Are IP Representatives requested to attend?


Do you have any comments or special requests?