Donation Request

Please fill out the required information below and a representative will get back to you by email within 3-business days of your request. Thanks for thinking of SkateNation Plus and Richmond Ice Zone for your event!

Facility *

Organization Name *

Organization Type *

Non Profit Tax Id #

Organization Address *

Contact Name *

Email *

Phone *

 Event Information


Event Name *

Event Date: MM/DD/YY *

Estimated Attendance *

Item to be used for *




Additional Comments

I would like to pick up the donation on: (MM/DD/YY)

Validation

Please type the alphanumeric sequence in the image above: