Donation Request

It is very important to me to offer support to local non-profit organizations (Warren, Ohio area), and also for terminally-ill loved ones of my customers, or for critically ill children. If you are in need of a donation for your LOCAL charity event, please complete this request for review. Depending on the type of the event, I may donate a gift certificate or baked goods.

Please note, due to the volume of requests I receive, I do have a quarterly budget for donations. If I am unable to donate to this specific event because donations for the quarter have already been fulfilled, I encourage you to check back for your next event. Please reach out with any questions. Thank you!

Sign in to Google to save your progress. Learn more
Email *
Your Name
Please specify the category of need (this area is required for consideration)
Clear selection
Today's Date
MM
/
DD
/
YYYY
Date Donation is Needed
MM
/
DD
/
YYYY
Description: Please describe the reason a donation is being requested. Please be specific and provide as much detail as possible. (For example, dessert is needed for a charity dinner for my best friend's husband who has a terminal illness, or a donation is needed for a basket raffle for the local Boy Scouts troop.)  (this area is required for consideration)
What type of donation is needed?
Clear selection
If a local non-profit was selected above, please provide the 501C3 number and the official organization name and official mailing address. 
Please provide any other information here.
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report