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Donation Request Document

Donation Request Form

In order to help us expedite your request, please complete this form in its entirety and return it to us through our email.  All donation requests will be submitted to our CRPP (Corporate Responsibility Philanthropic Program) which meets monthly.  If your organization has been chosen for a donation, we will notify the individual listed on this form.


Name of you organization: _______________________________________________________

Mailing Address:______________________________________________________________

Contact Person:_______________________________________________________________

Telephone number and email address: _____________________________________________

Is your charity a recognized 501 (c)(3)  □Yes□No  (If yes, please submit a copy)


What is the Date of your event? ­­­­­­­­­­­­­­­­­­­­­­­­­__________________________________________________

What type of event are you hosting? _______________________________________________

What type of donation are you requesting?

□Sponsorship             □In-Kind Gifts/Merchandise                  □Other (please specify)


How will the donation be used?

□Auction Item              □Give away                             □Other (please specify)


When do you need the donation by? _______________________________________________

How will our donation be recognized?

□Tickets/Entry to Event     □Use of Professional Photographs     □Website

□Print Ads                   □Social Media         □Other (please specify)


Additional Comments: ________________________________________________________________________________________________________________________________________________________

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Signature                                                                                              Date