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Benefit/Event Appeal Request Form
Benefit/Event Appeal Request Form
Please provide the following information to request an appeal
Part 1: Event Information
If the benefit is for an event, please complete this section. Note: The event must already be created in Davie.
Event Name
Event Date
MM slash DD slash YYYY
Is this a third-party event? (Only an appeal is needed)
*
Yes
No
Will the registrations and fee run through Davie for deposit?
Yes
No
Will this event use online registration?
*
Yes
No
Part 2: Registration Options
Registration Option Description
(include value of goods/services received and attach a copy of your registration form showing options and sponsorship levels below)
Benefit Value
What is the benefit's fair market value?
Designation for Gift and Fee portion:
Business Unit/Site
(i.e., Lineberger Comprehensive Cancer Center/ LCCC)
File
Please attach a copy of the event registration form or a list of your event registration options (optional).
Max. file size: 98 MB.
Your Email Address:
*
Phone Number:
*
Name
This field is for validation purposes and should be left unchanged.
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