Donation Request Form

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81 South Elliott Rd. Chapel Hill, North Carolina 27514
PHONE (919) 968-1983
DONATION REQUEST FORM
We appreciate our customers' involvement in all the many local non-profit organizations who provide for
the needs of our community. Each individual Whole Foods Market has a budget with which to support these
Please return this form
projects, most often with donations of food or gift certificates for specific events.
to us at least 5 weeks advance of your event
so our Contributions Committee has time to consider
wisely how best to share our donations funds. Due to the large volume of requests we receive, you will only
be notified if we can accommodate your request. Incomplete applications will not be considered.
DATE of APPLICATION:_________________
NAME of Applicant Organization______________________________________________________________________
Location(town)_________________________________________________ Phone_______________________________
Tax Status of Organization:
Tax Exempt as IRS 501(C)(3)?_________ Affiliated with Tax Exempt?________ Other? (specify)_________________
FEDERAL ID #____________________________
NAME OF PERSON filling out this application:____________________________________ & Phone ________________
*
EMAIL____________________________________________________________________________
Please write legibly.
PERSON’S MAILING ADDRESS: (required) _________________________________________________________________
CITY______________________________________________________STATE__________________ZIP___________________
DATE Of Event:_______________________________LOCATION Of Event:____________________________
SUMMARY of Event:____________________________________________________________________________________
NUMBER of attendees expected:_______
Request you are making of Whole Foods Market:_______ _________________________________________________
________________________________________________________________________________________________________
What recognition can Whole Foods Market expect from this donation?_____________________________________
________________________________________________________________________________________________________
For Office use only: ******************************************************************************************
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