Donation Request

Donation requests may be submitted at any time during the year and will be responded to on a first come, first serve basis. Only online proposals will be considered and we kindly ask that you ensure your request contains the following information along with any relevant documentation attached.

Your Name*
Organization*
What Is Your Affiliation To The Organization?*
Address*
City*
State*
Zip*
Phone Number
Email Address*
Tax ID # / ein*
Description of Event*
Location of Event*
Event Date*
Mission Statement*
Have We Donated To You In The Past?
If So, What & When?*
Preferred Donation
Will There Be Any Media Relations/Promotions For The Event? e.g.; Journal Ads, Online Auctions, etc.
If Yes, Please Describe.
Additional Details.
Please Provide Additional Information About The Event Or Files That You Are Uploading.
FILE #1: DONOR REGISTRATION FORM
FILE #2: BROCHURE/CHARITY INFORMATION
FILE #3: TAX INFORMATION
FILE #4: OTHER
PREFERRED RESTAURANT FOR DONATION:
CAPTCHA SECURITY CODE:*
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