PME CEO Fund

Organization/Cause Name*

If you're requesting a donation for a tribal function, and do not have an event scheduled, please email Emily Sato at EmilySato@Clearwatercasino.com

City your organization is located in?*

State your organization is located in?*

Is your organization a 501 (c) 3 or non-profit organization registered in the State of Washington?

Please provide your Federal EIN (Employer Identification Number)

Please choose one of the following donation requests*

For Cash Donations, what is the amount you're requesting?

For In-Kind/Certificate Donations, check all that apply*

For Dining (OTHER) selection below, please email EmilySato@clearwatercasino.com with amount

Date donation needs to be in your hands*

Name of the event this request is for:*

Date of Fundraising Event*

Location of the event this request is for:*

What are you raising funds for?*

Please include, Explanation of the cause, how it's going to help the community, how long this event has been going on, etc.

Does Your Organization Have a Website?

Please Provide Link to Website

Please attach your 501(c) 3 or Non profit status certificate

Max. file size: 16 MB.

Please attach Event Flyer

Max. file size: 16 MB.

Contact Person Name*

First Last

Contact Person Phone Number*

(###) ###-####

Contact Person Email*

Enter Email Confirm Email

How would you like to receive your donation?*

Address Certificates Should Be Mailed To

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

PME CEO Donation Request Form