Is your organization a 501(c)3 organization (non profit)?
*
Yes
No
Is your organization located in or near one of the following communities: Freeburg, Vienna, Eldon (MO)?
*
Yes
No
If you answered "NO", to any of the above questions, you do not meet the minimum qualifications for donation. Thank you for your understanding!
If "YES" to both questions above, please submit the following information below:
Name
*
First Name
Last Name
Email
*
example@example.com
Tell us about your organization/event
Organization / Event Name
*
Event Date (if applicable)
-
Month
-
Day
Year
Date
Organization / Event Description
*
How will the donation be used? (silent auction, fundraiser prize, etc.)
*
Amount of Donation
*
List any Quaker employees who volunteer for your organization.
*
What is your organizations connection with Quaker?
Contact Information
Name of Contact Person
*
First Name
Last Name
Title of Contact Person
*
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Contact Email
example@example.com
Organization Tax Id #
*
Is this organization a local chapter of a national charity?
*
Yes
No
Is this organization a customer of Quaker Window Products?
*
Yes
No
Additional Documents or Attachments
Limit of 5 total uploads.
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