East City Flower Shop’s Donation Request Form
1. Name of organization or group ________________________________________________________
2. Name of contact person ____________________________________ Phone ____________________
3. Who is responsible for floral purchases in your organization? (If different from above)
___________________________________________________________Phone____________________
4. For which occasions do you regularly purchase flowers? (Check all that apply)
Sympathy___
Birthday___
Get Well___
Client/Staff Recognition___
5. Are you a charitable or non charitable organization? (Circle one)
6. Is this a fundraiser or social event? (Circle one)
7. Are you aware of our rewards program?
Yes__ No__
8. Did you know, participation in our rewards program guarantees that each time your organization
reaches 200 points you will receive a gift card valued at $40 automatically, to be used at your next
fundraising event?
Yes__ No__
9. How will our shop be promoted? _______________________________________________________
10. Which social media will we be linked to? (Check all that apply)
Twitter__
Facebook__
Instagram__ LinkedIn__
11. Will tickets for this event be made available on a contra basis?
Yes___ No___
12. Are you approaching other florists as well? _______________________________________________
13. When is your donation required? _______________________________________________________
14. Will you be submitting multiple request forms during the calendar year?
Yes___ No___
15. Janet has been a member of the Rotary Club of Peterborough Kawartha for 24 years. Each year the
Rotary Club of Peterborough Kawartha holds an online Christmas auction. In the spirit of reciprocity,
does your organization have a good or service that you would be willing to donate?
Yes___ No___