Item Donation Request Form
Please fill out our form below! Our team will be in contact with you.
Today's Date
*
Organization or Applying Group's Name:
*
Benefiting Organization (if different than above):
Non-profit Status:
*
501c3
501c6
Other
Basic Mission of Organization:
*
Contact Name:
*
Email address:
*
Mailing Address:
City, State, ZIP:
Organization Website:
How did you hear about our Donation Program?
Type of Event / Fundraising Activity donation will be used for?
Title of Event / Fundraising Activity:
Website / Social Media Page of Event:
Event Date:
*
Donation will be used in a:
*
Raffle
Silent Auction
Other
What item(s) are you requesting?:
*
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