In order to give your request for donation proper attention, please complete the information requested and return this form no later than 14 days prior to your event. Thank you for your cooperation.
All requests will be considered and notified of status.
• All requests must be in writing utilizing this Charitable Donation Request Form,
no exceptions, please.
• Complete all sections of this form
• List specific details of the event/cause including date of event
• Include Tax ID number if applicable
• Please PRINT

Mail, Fax or Email your completed request form no later than 14 days prior to the event to:
Marketing
Great River Casino Resort
P.O. Box 727
Burlington, IA 52601
FAX: 319-237-1253
Email: donations@grellc.net