Donor In-take Form for Bingo Bash

First Name *

Last Name *

Address Line 1 *

Address Line 2

City *

State/Province *

Zip/Postal Code *

Country

Email *

Phone 1 *

200MWWC Member Name (Point of Contact) *

Donation Type

Complete only the section(s) that apply to your donation and leave all other sections blank. If you are donating multiple ways (ex: sponsorship + auction item), complete each relevant section.

Donation Type *

Sponsorship

Silent Auction

Raffle Prize

Swag Bag

Sponsorship

ONLY complete this section if you are providing a sponsorship. Otherwise, leave this section blank.

Sponsor Company Name

Sponsorship Level

Sponsor Company Mailing Address

Sponsor Phone Number

Sponsor Email

Sponsor Company Website (URL)

Company Instagram

Facebook

Upload Company Logo

Payment Method

Please submit your payment immediately after submitting this form. Your submission will not be considered complete until payment is received.

How would you like to submit your payment? (Select one)

Zelle to: dallasgiving@200mwwc.org

PayPal Giving Fund (Copy link in a new browser): https://www.paypal.com/us/fundraiser/charity/3376795

Mail a Check

I will not be participating as a monetary sponsor

Swag Bag Contribution

Examples of swag bag items are branded merch, promo materials, and tasty healthy treats and snacks from our sponsors. Minimum of 250 items required so all Bingo Bash attendees can enjoy the fun goodies. ONLY complete this section if donating Swag Bag

Business or individual providing this Swag Bag Item

Quantity Donated

Minimum of 250 items required to ensure inclusion for all Bingo Bash attendees.

Item Description

Company Instagram

Facebook

Do you have additional swag bag item to donate?

Yes

No — this is my only item

First Silent Auction Item

Suggested value: $50+. Please describe your item exactly as you would like it to appear on the silent auction platform. (e.g., gift baskets, spa packages, tickets, experiences).

Business or individual providing this auction item

Auction Item Name

Description: Describe your time exactly as you would like it to appear on the platform

Retail Value

Minimum Bid Amount

Company Instagram

Facebook

Silent Auction - Item Photo Upload

Second Silent Auction Item

Suggested value: $50+. Please describe your item exactly as you would like it to appear on the silent auction platform. (e.g., gift baskets, spa packages, tickets, experiences).

Business or individual providing this auction item

Auction Item Name

Description: Describe your time exactly as you would like it to appear on the platform

Retail Value

Minimum Bid Amount

Facebook

Company Instagram

Item Photo Upload

Do you have an additional Silent Auction item to donate?

Yes

No — this is my only item

First Raffle Prize

Suggested Value Under $30. Please describe the swag bag item exactly how you would like us to promote it.

Business or individual providing this raffle prize

Raffle Prize Description

Raffle Retail Value

Facebook

Company Instagram

Upload Company Logo

Second Raffle Prize

Suggested Value Under $30. Please describe the swag bag item exactly how you would like us to promote it.

Business or individual providing this raffle prize

Raffle Prize Description

Raffle Prize Value

Company Instagram

Facebook

Upload Company Logo

Acknowledgment Statements

Before submitting this form, please review and confirm the statements below. These acknowledgments help ensure your donation is processed accurately and in accordance with event deadlines.

I confirm I completed only the section(s) that apply

I acknowledge all applicable deadlines

Submitted Date *