ORGANIZATION INFORMATION

Organization Name*

Organization Type*

Is your Organization a Non-Profit?*

Tax ID Number*

Please enter your nine-digit EIN number.

W9 File Upload*

Max. file size: 16 MB.

Address*

Street Address City State ZIP Code

Website

REQUESTER INFORMATION

First Name*

Last Name*

Title/Relationship to Organization*

Primary Email*

Primary Phone*

Total number of tickets requested:*

Number of adult ( ages 12+ ) tickets requested:*

Number of youth ( ages 4-11 ) tickets requested:*

Date for ticket admission:*

Do you want a Planetarium show included?*:*

*Blackout dates apply for Planetarium shows

Reason for request:*

We do not provide ticket donations for fundraising events. Please see our Membership Donation Request page for these types of requests.