Donation Requests - Springfield Park District (Page 2 of 3) in pdf

Springfield Park District

Donation Request Form

Please closely review the Donation Request Guidelines document first, to see if your request can

be considered. Please fill out all areas of the form completely to be considered for a donation.

Thank you!

1. Exact name of not-for-profit Organization _________________________________________

2. Address of organization

_______________________________________________

3. Name of Event

_______________________________________________

4. Requestor’s name

_______________________________________________

5. Phone number

_______________________________________________

6. Today’s date

_______________________________________________

7. Event date(s)

_______________________________________________

8. Date the donation is needed by

_______________________________________________

(a minimum 3-week notice prior to donation due date is needed for processing)

9. Location of event

_______________________________________________

10. Type and quantity of donation requested (ex: five admission pass to the Zoo, two free round

of golf at Lincoln greens, summer camp registration)

____________________________________________________________________________

11. Age group donation is for

_______________________________________________

12. Additional information

_______________________________________________

13. How donation will be used (examples: auction, raffle, door prizes, etc.)_________________

____________________________________________________________________________

14. Donation to be mailed to:

Name_______________________________________________________________________

Street Address________________________________________________________________

City________________________________________ State________ Zip_________________

15. Please mail or drop off all donation request forms to the following address:

Springfield Park District

Attn: Donation Requests

2500 S. Eleventh St.

Springfield, Il 62703

Donation Requests - Springfield Park District Page 2