Co-op Donation Request Form
THANK YOU for making your donation request online!

We are very proud to be a giving member of the community we serve. Last year alone, we invested over $305,000 back into our community through donations and sponsorships.

Please note that groups/charities must reside and be active in our trading area in order to receive donations.

**WHEN MAKING A DONATION REQUEST FOR AN EVENT, PLEASE ALLOW US 14 DAYS NOTICE**

Email address *
Your name: *
Your answer
Phone number: *
Your answer
Your organization. *
Your answer
Organization Co-op number (if applicable):
Your answer
Website (if applicable):
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What best describes your organization: *
Please check one or more of the following donation requests: *
Required
Donation request details: *
Your answer
Estimated value of donation request: *
If this donation is for a specific event, please describe the event in detail.
Your answer
Has your organization requested donations in the past? If so, please explain. *
Your answer
Requested donation pick-up date: *
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Location for donation pick-up: *
Event date (if applicable):
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Questions and comments
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