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Donation Request Form
Please complete this form to request a donation from our organization.
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* Indicates required question
Organization Legal Name
*
Your answer
Organization Website
Your answer
Contact Person Full Name
*
Your answer
Contact Person Email Address
*
Your answer
Contact Person Phone Number
*
Your answer
Is your organization a registered non-profit/charity (e.g., 501(c)(3) in the US)?
*
Yes
No
Pending
Please provide your non-profit/charity EIN or Tax ID number (if applicable)
Your answer
Briefly describe your organization's mission and the community you serve.
*
Your answer
What type of donation are you requesting?
*
Monetary Donation
In-Kind Goods/Services (e.g., products, volunteer time)
Sponsorship for an Event
Gift Certificate/Item for Raffle/Auction
Other (Please Specify Below)
Required
If requesting a Monetary Donation, what is the specific amount requested?
Your answer
If requesting In-Kind Goods/Services, please describe the specific items or services needed.
Your answer
For what specific project, event, or general fund will the donation be used?
Your answer
What is the date of the event or deadline for the donation (if applicable)?
*
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How did you hear about our donation program?
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Referral from Another Organization
Social Media
Previous Donor/Recipient
Staff Member/Employee
Other
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