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Donation Request
Welcome! We definitely prefer human contact, not forms! However, we receive many worthy requests and cannot respond to all. Please tell us more and we will give your request our fullest consideration.
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Email
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Your email
What is your request?
Product for Review on Social Media
Product for Review on TV or Print Media
Product for Fundraising Raffle
Product for Needy Family or School or Community
Discount Coupon for Organization Members
Discount Coupon for Conference or Event
Discount Coupon for Therapist's Clients
Other:
In which ways, if any, would Fun and Function benefit? Please be as specific as possible
Your answer
About Me (name, email, phone)
Your answer
How did you hear about Fun and Function?
Your answer
Are you a blogger? Please complete this section. If not, skip to next section. (Blog url, # Unique Visitors Monthly, Primary Audience, and Relevance to Special Needs)
Your answer
Are you a non-profit 501(c)(3) organization? Please complete this section. If not, skip to the next section.(Organization Name, Membership or Audience, Mission and Relevance to Special Needs)
Your answer
Is this for an event? (4-6 weeks advance notice required). Please complete this section. If not, skip to next section.(Event Name, Date, Sponsored By, the Goal, Number of Attendees and Location, Relevance to Special Needs)
Your answer
Is this a request for something not listed above? Please describe (50 word limit)
Your answer
Comments (50 word limit)
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