SAMPLES Longmont Donation Request Form
Please fill out the required questions below to request a donation. Once submitted, a staff member will be in touch. Thank you for your interest in SAMPLES Longmont!

Please note: donation requests can take up to 6-8 weeks to process.

Email address *
Name of Organization *
Your answer
Physical Address *
Your answer
Contact Name *
Your answer
Contact Phone Number *
Your answer
Organization Website *
Your answer
Is your organization a 501(c)(3) charity? *
Type of Contribution *
Details to Support Request (ex. amount/value, requested items, etc.) *
Your answer
Is this donation for a specific event? If so, please provide the event details such as: name of event, when/where it will take place, how many people are expected to attend, who the event benefits, other companies that are sponsoring/providing donations, etc. *
Your answer
Will this event be advertised? How? *
Your answer
What do we as sponsors receive? *
Your answer
When do you need the donation? *
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This form was created inside of Sample Supports.