Order # ______________________
Donation Request Form
In order to help us expedite the donation procedure, please complete this form in its entirety. All requests must be
submitted at least 2 weeks prior to the event. In addition, this form must be accompanied by a descriptive letter written on
the official letterhead of the organization.
Mail to: Hidden Valley Animal Adventure, OR e-mail to
ATTN: Corporate Donations
2887 Royce Rd
Varysburg, NY 14167
Name of your organization:
_____________________________________________________________________________________________
Summarize the focus of your organization (i.e. shelter, school, healthcare):
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Shipping address (P.O. Boxes cannot be accepted):
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Contact person: _________________________________
Phone number: ____________________________
Non-Profit I.D. #: ________________________________
Event date: ________________________________
What type of event will you be hosting? (silent or live auction, raffle, etc.)
_____________________________________________________________________________________________
_____________________________________________________________________________________________
What kind of attendance do you anticipate for your event? ______________________________________________
What is the value of the product you are hoping for? ___________________________________________________
What specific area will these proceeds benefit?
_____________________________________________________________________________________________
_____________________________________________________________________________________________
% of proceeds that go directly to charity: ____________________________________________________________
What type of advertising are you planning to promote this event? _________________________________________
_____________________________________________________________________________________________
Additional comments: ___________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Signature: __________________________________________ Date __________________________
Please note, due to our budget and the high volume of requests we cannot guarantee donations. Thank you for
considering our business!