Donation Request Form printable pdf download

925 S. Burdick St., Kalamazoo, MI 49001

Phone: 269-382-3338

Fax: 269-382-5550

Email:

Website:

DONATION REQUEST FORM

Organization Information

Organization Name: __________________________________________________________________

Federal Tax Id #: ______________________________________

Is this Organization Non-Profit 501-C3? __________

Address: __________________________________________________________________________

City State Zip: ______________________________________________________________________

Contact Name: ______________________________ Title: ___________________________________

Telephone: ___________________________________ Fax: __________________________________

Cell phone: ___________________________________ Email: ________________________________

Is the Organization a current client of our Business? ________________________________________

Have we donated to your organization before? ____________ If so, when? _______________________

Event Information

Event Name: _________________________________________________________________________

Event Sponsor(s): _____________________________________________________________________

Event Date: _________________________________________________ Time: ___________________

Event Location: _______________________________________________________________________

Event Description -

Please be specific,

Who benefits? ________________________________________________________________________

The cause: ___________________________________________________________________________

____________________________________________________________________________________

Items donated to be used for:

_____Silent Auction _____ Live Auction _____ Raffle _____ Door Prize _____ Table/Event Decor

Donation Request Form