Donation Request Form

DONATION REQUEST FORM
Our team is passionate about helping those in need and we take our social responsibility seriously. Supporting organizations like yours is important to Passion Vines, and to our community! There are many causes that deserve support, and we focus our funds in the areas to which we can make the greatest impact. Since our inception, we have dedicated much of our charitable resources to the National MS Society, and we plan to continue! Our Donation Committee’s decision to support your organization will not be based on our own self-interests, rather on the following:

A. Is your organization or event clearly nonprofit or charitable? If not, we may consider your request to be more appropriately directed to our marketing department and will forward it on for you as appropriate.

B. Is your request coming from an organization that will improve the health, educational, cultural or civic vitality of this community?

C. Does contributing to your organization touch on our prioritized areas of concern?

Thank you for completing this donation request form. It greatly improves our decision-making process, helping Passion Vines to remain a good partner in our community.
Today's Date

MonthDayYear
Date
Your Name
Your Phone Number
Please enter a valid phone number.
Your Email Address
example@example.com
ABOUT YOUR ORGANIZAION
The organization seeking the donation
Is it a 501(c)3?

YesNo
Please submit a copy of the tax-exempt certificate

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What is your organization's mission? Please include the website address
Has it received a donation from Passion Vines in the past?

YesNo
If yes, when?
Your relationship to the organization
Organization's Executive Director
Organization's Board President
ABOUT THE DONATION
The name and type of event at which the donation will be used
The event's goal
Type of Donation?

Auction/Prize itemSponsorshipRefreshmentsMonetary ContributionOther
The exact donation you are seeking
If requesting refreshments, how many people do you wish to serve with the Passion Vines' contribution?
Recognition to donors (at the event, prior, subsequent, etc.)
LOGISITCS BASICS

We will provide specific information as to where the donated products will be available for pick-up
Date of Event

MonthDayYear
Date
Deadline for Donations
Who will pick it up?
Person's primary phone number
Please enter a valid phone number.
Please upload any additional documents such as flyers, letters, brochures, etc.

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SIMPLE INSTRUCTIONS
Thank you for taking the time to complete this form.

Please understand that the more lead time we are given to consider your request, the greater the chance that we can find some way to help you. We strive to have an answer to you within two weeks. If you haven't heard back from us within this time frame, please give us a call at (609) 653-VINE (8463).
FOR PV USE ONLY

Do Not Complete
Date reviewed
Approved?
If no, why?
Type of Donation/Amount
If check, make out to
Assigned to
COGS
Should be Empty:

DONATION REQUEST FORM

ABOUT YOUR ORGANIZAION

ABOUT THE DONATION

LOGISITCS BASICS

SIMPLE INSTRUCTIONS

FOR PV USE ONLY