Donation Request Form
Please fill out this form to request a donation from our organization.
Event Name
Does this request come from an individual or an organization?
Individual
Organization
Organization Name
Is this Organization a Non-Profit?
Yes
No
If Yes, please add the Organizations Non-Profit Tax ID #:
Name of Applicant
First Name
Last Name
Email
example@example.com
Phone Number
-
Area Code
Phone Number
What type of donation do you need?
Event Rental Equipment
Cash
Other
How many people will benefit from this donation?
What is the date of the event?
-
Month
-
Day
Year
Date
What time will the event happen?
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Until
until
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
How many people will attend the event?
Equipment or amount requested for donation (please include quantities):
How would you acquire the donated items?
Will Call Pick up and Return
Need Miller's Party to Deliver and Pick Up
Can you provide a letter on organization letterhead asking for donation at least 15 days before start of event?:
Yes
No
How will Miller's be recognized at the event?
*
What is the monetary value of this recognition?
*
Would Miller’s be the exclusive rental equipment provider for the event and or sponsor?
Yes
No
Have you or the organization rented with Miller's for your previous events?
*
Yes
No
If Yes, please provide the approximate date and name the order was under.
*
Please explain why you need this donation.
Submit
Should be Empty: