Name of Event                                                                          Date of Event          
          January February March April May June July August September October November December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2008 2009 2010

Contact Person                                                                       Phone of Contact Person
                                  

Email Address of Contact Person


Name of Organization
  

Address of Organization


     City/Town           State         Zip Code
    

           Monetary  Dollar Amount Requested?  
     Sponsorship  Promotion Items (if available)  
  Coupons, Gift Certificates or Match Plays    

Please describe how the proceeds from the event will be used.


How many people expected to attend this event?

Has your organization requested and/or received donations from
Rainbow Casino, Ho-Chunk Casino, and/or Ho-Chunk Nation
Community Relations Committee within the past 12 months?
YES   NO

Please explain how your organization will promote
Majestic Pines Casino at this event.


How will this donation help your organization and your event?


Please provide a brief narrative explaining the history of the organization,
objectives of the event and the target audience of this event.


 I have read and understand the rules associated with this application. I understand that by submitting this completed application that my organization
may or may not receive the donation that is requested. All information that I have provided on this application is current and accurate to my knowledge. In
signing this statement, I acknowledge that the organization and I support Ho-Chunk Nation Gaming.

Application Rules and Guidelines