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We serve our community with donations to non-profit organizations.

To be eligible, organizations must be recognized as tax-exempt under section 501(c)(3) of the Internal Revenue Code.

We can only consider requests submitted on this form.

Donations are for charitable purposes only.

Requests must be submitted a minimum of four weeks in advance of the date needed.

Submitting a request does not guarantee a donation.

Requested Information

Name:
Email Address:
Phone Number:
Date of Event:
October 2019
SuMoTuWeThFrSa
293012345
6789101112
13141516171819
20212223242526
272829303112
3456789
Time of Event:
Name of Event:
Full Address of Location
Non-Profit Number:
Who is attending this Event?:
Number of People Expected:
Please explain the purpose of this event & how it benefits our community:
Type of Donation:
Additional Information: