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Dream Arcades® Donation Request Form

As part of our continuing commitment to the communities we serve Dream Arcades® is pleased to give a portion of its proceeds to charities. This form is for charitable organizations that wish to be considered for this program and is only for arcade and kit donations. We do not accept solicitations for cash donations, which are only given to organizations we have an ongoing relationship with.

Please fill out the form as completely as possible. Please note that currently Dream Arcades is only accepting requests from Children's Charities, such as Children's Hospitals, and Youth Centers. Also, due to ongoing commitments with other organizations we do NOT accept any requests for auctions, unless you can arrange for celebrity or athlete signatures, which increase the auction value.

Name of your organization:
Your Full Name:
E-mail address:
Confirm e-mail:
Phone number:
Address:
Are you a registered charity?
You are not required to be a registered charity to apply.
Yes No
Are you a religious organization?
Both religious and non-religious organizations are welcome to apply.
Yes No
Are you open to accepting a refurbished or scratch/dented unit?
These may be customer exchanges, floor models, etc., but will all be in excellent condition.
Yes No
Reason for request:
What will the arcade be used for?
Comments:
Submit Button
Note:

This form is not encrypted. If you are not able to submit this form please copy and paste into an e-mail and send it to: support@dreamarcades.com