Donation Request Form Submit page

Donation Request Form

Your Name*
Name of charitable organization this will support*
What is your relationship to the organization?*
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Website*
Email*
Does the organization classify as a 501 (c)(3) charitable organization? (Please submit a copy of determination letter)*
- Yes
- No
Type of Request*
Other:*
Have we donated to your organization before?*
- Yes
- No
What donation was made?*
Website for donation or sponsorship (if applicable)
Date Needed*
MM slash DD slash YYYY
Would you grant us permission to showcase your logo on our community engagement website if selected, as a way to highlight and celebrate the local organizations we passionately support?*
- Yes
- No
Tell Us Why
Please provide information on your good work and tell us how you will acknowledge this donation at your event. It would also be helpful to understand your fundraising goals.
File*
Accepted file types: doc, pdf, xls, jpg, png, Max. file size: 256 MB.
Please include a copy of your organization's determination letter as a single PDF or Word document.
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