Vinckier Foods Donation Request Form

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Vinckier Foods Donation Request Form
About You
Your name:
First
Last
Email:
Phone:
About Your Organization
Name of organization:
Address:
_
Street or PO Box
City
State
Zip Code
Is your organization a 501(c)3?
Yes
No
If your organization is a 501(c)3 please attach a copy of the tax-exempt certificate to your form submission email.
Your organization’s mission:
Has your organization received a donation from Vinckier Foods in the past?
Yes
No
Your relationship to the organization:
Executive Director:
_
Board President (if different):
About the Donation
Name and Type of event the donation will be used: ___________________________
Event Goal:
How will the donation be used?
Exact donation seeking:
If requesting refreshments, how many people do you wish to serve with the Vinckier Foods contribution?
How is recognition given to donors (at the event, prior, during, etc.):
Receiving Donation
Date needed:
Time needed:
Pick Up Location:
Almont
Armada
Wadhams-Kimball
Yale
Person picking up donation:
_
Person picking up donation work/home phone numbers:
_
_
Work
Home
If approved, Vinckier Foods will provide your organization with specific information on where and when the donated product will be
available for pick-up.

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