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

By filling out the attached form and answering the questions we have provided, we will have a better understanding of your request and will be able to serve you better.

After you fill out this donation request, we will contact you within a few business days to go over details. If you have questions please call us at 204-325-9595 or email cbailey@winklercoop.com.

PLEASE MAKE YOUR DONATION REQUEST AT LEAST 10 BUSINESS DAYS BEFORE EVENT.

Email address *
Please describe your organization. *
Your answer
Organization website (if applicable):
Your answer
Your name: *
Your answer
Co-op number (if applicable):
Your answer
Phone number: *
Your answer
Has your organization requested donations in the past? If so, please explain.
Your answer
Please check the following donation request:
Donation description: *
Your answer
Donation deadline: *
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If this donation is for a specific event, please describe the event in detail.
Your answer
Event date (if applicable):
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DD
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YYYY
Questions and comments
Your answer
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