Float Sixty & HERO+ Recovery donation request form

Thank you for your request. We carefully evaluate all submissions upon completion of form below.

Regretfully, we cannot accommodate all requests and our donation budget is currently allocated for this year.

We do make exceptions and will reply if we are able to do so to the contact person provided.

Choose one from the available checklist below.

Requesting Donation from which Float Sixty Location?

Please select the location you are seeking a donation from:

Float Sixty Chicago (River North)

Great Lakes Sports Hub: HERO+ Recovery Studio (Crown Point)

Float Sixty Indiana South Shore (Chesterton)

Other Special Request

Organization Name

Tax ID

Enter 501(c)(3), Federal E.I.N., School ID or other applicable identifier

Year Established

Organization Type

Requestor/Contact Name

First Name

Last Name

Title/Relationship to Organization

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Website

http://

Organization's Event Name/Description

Please indicate the name of the specific event and tell us a little about what it is all about

What are you requesting?

Event Date

YYYY

Event Location

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Number of Guests Anticipated

Donation will be used for:

Pick Up/Drop Off Instructions

Please provide email address where the donation can be sent electronically. If you'd like to pick up a physical donation certificate indicate that here.

Twitter Handle for Social Sharing

Please indicate the Twitter account that should be mentioned by our social media team for this event. Use @floatsixty for any media mentions related to this event.

Facebook Page URL for Social Sharing

Please indicate the Facebook account that should be mentioned by our social media team for this event. Use @floatsixty for any media mentions related to this event.

Instagram Handle for Social Sharing

Please indicate the Instagram account that should be mentioned by our social media team for this event. Use @floatsixty for any media mentions related to this event.