First Name of Applicant: *
Last Name of Applicant: *
Organization of Applicant: *
Organization Address: *
Organization City: *
Organization State: *
Organization Zip: *
   
Employer ID Number of Nonprofit: *
   
Applicant's Phone Number: *
Applicant's Email Address: *
   
Mission of Requesting Organization: *
   
Date Donation Needed: *
   
Referral:
   
We also require the submission of two (2) additional documents. Please tell us the purpose of the intended use of donation, what event the donation will be used for and describe how it will be used by emailing a PDF request on your nonprofit’s letterhead for review by the ISM Raceway Charities team and a copy of your 501(c)3 Determination Letter of Granting Status from the IRS to charities@ismraceway.com.