Q
B
C
.
UEBRADA
AKING
O
D
R
F
ONATION
EQUEST
ORM
Contact:
Contact
N ame
_ __________________________Date_______________
Email
_ _____________________________Phone____________________
About
Y our
O rganization:
Organization
N ame
_ ________________________________________
Website
_ _____________________________________________________
Quebrada takes great
Employer
I dentification
N umber
_ _________________________
pride in supporting
local non-profit
Please
d escribe
t he
c ause
t hat
y our
o rganization
organizations. We
supports______________________________________________________
believe in the
________________________________________________________________
importance of
providing charitable
________________________________________________________________
gifts to diverse
________________________________________________________________
initiatives that we
know can make a
About
Y our
E vent:
meaningful difference
Date
_ _____________________
N umber
o f
A ttendees___________
in our neighborhoods
of Arlington, Belmont
Brief
D escription
o f
E vent
_ _________________________________
and Wellesley.
________________________________________________________________
________________________________________________________________
We ask that all
requests be submitted
________________________________________________________________
via this form for
________________________________________________________________
review.
%
o f
p roceeds
t hat
w ill
g o
t o
t he
o rganization
_ __________
We will review each
How
w ill
t his
e vent
b enefit
o ur
c ommunity?
_ ____________
request within two
________________________________________________________________
weeks, and contact
you if we are able to
________________________________________________________________
provide a donation.
________________________________________________________________