Donation Request Form

Donation Request Form
The Village of Pleasant Prairie and the Recreation Department welcome requests for donations from the RecPlex. Unfortunately, our ability to give is limited in relation to the number of requests we receive on an annual basis.
Guidelines and Criteria

1. As a municipal government entity, RecPlex cannot give cash donations. Donations of Day Pass gift certificates are given. Certificates have no cash value.

2. All requests must be submitted by completeting this form at least 30 days in advance of date of event.

3. Consideration is given to charitable, non-profit organizations. No funding is given to political candidates or organizations.

4. Donations will be granted only once per calendar year.
Please complete the following information:
Name of Donation Recipient:
Date of Request:

MonthDayYear
Date
Contact Person:

First NameLast Name
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Name of Event:
Purpose of Event:
Date of Event:

MonthDayYear
Date
Five (5) Free Guest Passes
Should be Empty: