Conway Shield Donation Request Form

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Conway Shield receives numerous requests for donations daily and cannot fund all requests. Priority will be given to donation requests that support efforts to fund PPE purchases, department training, mental fitness programs and physical fitness programs. Donation requests that do not fund these efforts will be considered, but will not be given priority consideration. Should your organization's request be approved, you will be contacted within 14 business days from the time your request was received. Thank you!

Organization Name *

Is this organization a 501c3? *

If so, please answer the following two questions. If approved, we may ask for more details later.

Yes

What is the exact name listed on your 501c3?

What is the exempt number listed on your 501c3?

Mailing Address *

City *

State *

Zip/Postal Code *

Organization Contact's Name *

Contact Phone *

Contact Email *

Event Name *

Event Date *

YYYY

What would you like Conway Shield to provide? *

How will this donation be used? *

To donate, purchase, or otherwise acquire PPE.

For department training.

To promote or practice good mental fitness.

To promote or practice good physical fitness.

Other:

Required

Please include a description (with a website link if possible) that will help us understand what your event is about and what is included with a donation/sponsorship if applicable. *

Submit

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