Donation Request

CONTACT INFO

Contact Name

Contact Phone

Contact Email

ORGANIZATION/EVENT INFO

Event and/or Organization Website

Does this organization have 501(c)(3) status?

YES

NO

Are you able to send a receipt for our donation?

YES

NO

Event Name

DATE OF EVENT

Month

Day

Year

Description of Event and/or Organization:

Upload event/organization information or flyer here, if you have one:

Feel free to attach any other information you'd like us to have (such as logo we can add to your event's info on our website):

Donations requested for (check all that apply):

Silent Auction

Raffle

Door/Game Prize

Other

If we provide a small sign, business cards and/or other items - will these be displayed at the event? If there is an online presence for this event, we would love if our logo could be included in that as well.

YES

NO

Other

Date donation item(s) needed by

Month

Day

Year

What is the best way to get the donation item(s) to you?

Organization will send someone to pick up

Snail Mail

Email

Other

Naturally Simple

Giving Back

Donation Request