Business/Organization/Event soliciting for donations * Main address of Business/Organization/Event * Address 1 Address 2 City State/Province Zip/Postal Code Country Business/Organization/Event point person of contact * First Name Last Name Phone number of Business/Organization/Event soliciting for donations * (###) ### #### Website for Business/Organization/Event * http:// Related social media account(s) * List social media URL(s) What type of donation are you requesting * Monetary Goods Services Other Requested amount/value (if applicable) What is the deadline for receiving a donation/sponsorship * MM DD YYYY Purpose of the donation* * Have we donated to this business/organization/event in the past? * YES NO Is this for a specific event YES NO If this is an event, what is the estimated number of attendees? * Will our business be recognized as a donor? * YES NO Additional Comments or Special Requests * Is this a non-profit * YES NO By typing my name below, I confirm that the information provided above is accurate and that this request complies with all applicable laws and guidelines. First Name Last Name Thank you!