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 gift certificates and day passes are given.

2. Rather than donating large amounts to fewer organizations, the Village desires to provide a greater number of donations to an increased number of organizations. Therefore, donations will be limited to the two choices listed.

3. All requests must be submitted by completeting this form at least 30 days in advance of expected pick-up date.

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

5. Donations will be granted only once per calendar year to ay particular organization or endeavor.
Please complete the following information:
Name of Organization:
Date of Request:

Month Day Year
Date
Contact Person:

First Name Last Name
Email
example@example.com
Name of Event:
Purpose of Event:
Date of Event:

Month Day Year
Date
My organization would like the following donation (all valued at $50), select one:

Five (5) Guest Passes Program of Membership Certificate
Should be Empty: