Donation Request Form
Langwater Farm is proud to support the Greater Easton community and provide resources to those in need. We review each request seriously and thoughtfully, and we do our best to spread out donations fairly among all the requests we receive. 

We review donation requests once a month (at the end of each month). 

If we are able to honor your request, we will contact you via email with next steps. If we are unable to accommodate your request at the moment, we are deeply sorry and encourage you to contact us again in the future. 

Thank you for the great work you do to support those in need!
Sign in to Google to save your progress. Learn more
Name of your non-profit organization *
Organization website *
Organization town/city, state, & ZIP code *
How would you categorize your organization? *
Required
Description of services provided and community served *
Description of donation requested. Please be specific, including dollar amount (if applicable) *
Contact name *
Contact email address
*
Contact phone # *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Langwater Farm.

Does this form look suspicious? Report