Donation Application
Apply here for a donation from your favorite Golden Girls store!
Email address *
Name of Applicant (Contact Person) *
Your answer
Which store are you applying for the donation from? *
Name of project *
Your answer
Name or organization involved *
Your answer
Federal Tax-Exempt 501c3 public charity? *
Federal Identification number of your 501 c 3 *
Your answer
Address *
Your answer
Telephone *
Your answer
What is the mission or goal of your organization or nonprofit? *
Your answer
Dollar amount requested: *
Your answer
How will the funding be used? *
Your answer
What is the target population? (age, geography, etc) *
Your answer
When will you need the donation by? *
Your answer
What are the top three accomplishments of your organization and when were they? *
Your answer
What are your primary funding sources? *
Your answer
In what year was your organization founded? *
Your answer
Thank you! You will here from us shortly!!
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