FarmHer Donation Request Form
Please submit your donation request at least 4 weeks prior to your event. A representative will be in contact with you if your request has been approved. Our giving focus for 2019 is mental health in rural America.
Organization Name: *
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Organization Description *
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Organization Mission *
Contact Name: *
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Contact Phone Number: *
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Address: *
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City: *
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State: *
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Zip Code: *
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E-mail: *
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Donation Request: *
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Event Name:
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Event Date:
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DD
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Event Description:
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How will this donation be used? (i.e. silent auction, fundraiser, prize, etc.) *
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How does your event, cause and/or organization shine a light on mental health in rural America? *
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