Donation Request Form - Collins Center for the Arts

The Collins Center for the Arts is proud to support the wonderful work of many charitable organizations within the greater Bangor region. Every year the CCA provides ticket donations to help these nonprofit organizations support their missions. If you would like to request a pair of tickets for your event, please refer to the following requirements.

Requirements:

1) Organization must be a charitable nonprofit with 501(c)3 tax exempt status from the IRS. 2) Request must be received at least 2 weeks prior to event. We cannot guarantee fulfillment for requests received with less notice. 3) Only one request per season (July 1- June 30) per organization. 4) In exchange for tickets, we ask that we be visually represented at your event with supplied materials.

Organization Name:*

Organization's Tax ID or 501(c)3 number:*

Event Name:*

Event Date:*

Purpose of Event:*

Contact Name:*

Contact Phone:*

Contact Email:*

Address to mail the vouchers*

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