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Donation Request Form
Organization Name:
Contact Person:
Email Address:
Phone Number:
Event Name:
Event Date:
Event Location:
Brief Description of the Event:
Type of Donation Requested:
Silent Auction
Gift Card
In Kind Donation – Speaking
Other (Specify below)
Other Donation Type (if selected):
How will our donation be recognized?
Social Media Shoutout
Event Program Recognition
Verbal Acknowledgment at the Event
Logo Placement on Marketing Materials
Fundraising Goal for this Event:
Have you received a donation from us before?
No
Yes (Please specify below)
If yes, when and what was received?
I confirm that the donation will be used for the stated purpose and that our organization complies with nonprofit guidelines.
Submit Request
