Donation Request Form
Please submit donation requests with at least 14 days notice. Any donation request granted by Zia Taqueria should not be considered a future commitment. Please read the Community Support parameters at https://ziataqueria.com/community-support/ in full before submitting your request. These parameters outline our strategy for community support including what is and what is not likely to be approved.
Your Name
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First Name
Last Name
Organization
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Are you an official represenative of this non-profit organization, authorized to make official requests on behalf of the organization?
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Yes
No
Is this donation for a registered 501(c) non-profit organization?
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Yes
No
Does your organization have religious affiliation? (Per our Community Support outline, we do not donate to organizations with religious affiliation.)
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Yes
No
Tax Exempt ID#
Your E-mail Address
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Phone Number
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-
Area Code
Phone Number
Please describe your organization and how it benefits the community.
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Date of Event (if applicable). We do not accept donations with less than 2 weeks notice.
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Month
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Day
Year
Date
Event Name (if applicable)
Please describe the event. What is the format? How does it work? How does the event produce money for your organization?
Event Location
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Expected Event Attendance
How many people will attend your event?
What are you requesting?
*
Cash Donation
Gift Cards(s)
Food Donation
Sponsorship (marketing trade)
Other
How will Zia be recognized for this donation?
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Please include specifics of all media, print, radio, logo placement, and other advertisement.
How will this donation be used? How will this donation create value for your organization and/or the community?
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Please be as specific as possible regarding the allocation of funds and how this particular donation will impact the cause. We are interested in ensuring that our donations have the greatest possible impact on worthy causes. Please ensure you have read the Community Support guidelines.
Which category does your organization fit into? Please note: we avoid organization with religious and political affiliation.
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Youth programs
Cycling
Health & Wellness
Outdoor Recreation
Local Ecosystem/Environment
Other
Anything else you'd like to add?
Submit
Should be Empty: