Cyd'S Gourmet Kitchen Donation Request Form
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1DONATION REQUEST FORM
Cyd’s Gourmet Kitchen is encouraged to make significant + substantial contributions, by strengthening our health and education in our community.
We recognize there are many causes worthy of support, but by focusing our resources in a few areas we feel our impact is greater.
Cyd’s will try to respond to your contribution request if we can identify with the effort or the cause. We try not to base our decision upon whether our
own self-interest will be helped by responding or hurt by not responding. We will ask these questions:
Is your organization or event clearly nonprofit or charitable?
Is your request coming from an organization that will improve health, educational, cultural or civic vitality in our community?
Does contributing to your organization touch on our prioritized areas of concern?
Thank you for filling out this request form. It helps us greatly with our decision-making and record-keeping.
YOUR NAME:___________________________________
TODAY’S DATE: ________________________________________
YOUR PHONE: _________________________________
YOUR EMAIL: __________________________________________
ABOUT YOUR ORGANIZATION
The organization seeking the donation: ____________________________________________________
FOR CYD’S USE
Is it a 501[c]? (Please submit a copy of the tax-exempt certificate.)
yes
no
What is your organization’s mission? Please submit. ________________________________________
___________________________________________________________________________________
Has it received a donation from Cyd’s in the past?
yes
no
Date Rec’d
Your relationship to the organization: _____________________________________________________
Organization’s Executive Director: _______________________________________________________
Organization’s Board President: _________________________________________________________
Approved or Declined?
ABOUT THE DONATION
The name + type of event at which the donation will be used: _________________________________
The event’s goal: ____________________________________________________________________
Date of Reply
What will the donation be used for?
auction item
prize item
refreshments
Other: _____________________________________________________________________
The exact donation you are seeking: _____________________________________________________
If requesting refreshments, how many people do you wish to serve with the Cyd’s contribution? ______
Decision Made By
Recognition to donors [at the event, prior, subsequent, etc]: ___________________________________
LOGISTIC BASICS
TOTAL COST OF GOODS
We will provide specific information as to where donated product will be available for pick-up.
Dated needed: ________________________________
Time needed: ________________________
Who will pick it up? ____________________________________________________________________
Person’s work/home phones: ____________________________________________________________
SIMPLE INSTRUCTIONS
Please mail this form to 5901 N Prospect Rd. Suite 5A. Peoria Illinois 61614 or fax to 309.693.3365.
Mark “Attention: Kelli Mathis.” Please understand that the more lead time we are given to consider your
request, the greater the chance that we can find some way to help you. We strive to acknowledge your request within five business days of
receiving this completed form, and will do our best to have an answer for you within two weeks. If you haven’t heard back from us within this time
frame, this form may have been lost, so please give us a call at 309.685.1100.
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