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Donation Request Form - Yackandandah

Please fill out each section. No request can be viewed until this form has been fully completed - requests must be completed at least two months in advance.
Organisation/Group Name*
Contact Person*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Website
ABN
Date of Request

MonthDayYear
Date
Type of Donation Requested:

Monetary DonationIn-Kind Donation (please specify the items or services requested)
Cash Value:
Purpose of Donation:
Event/Project Name (if applicable):
Event/Project Date (if applicable):

MonthDayYear
Date
Event/Project Location (if applicable):
Expected Number of Attendees/Beneficiciaries (if applicable):
Description of Organisation/Group and Mission:
Provide a brief overview of your organisation/group and the mission or purpose it serves.
How will the donation be used to support your cause?
Explain how the donation will be utilised and the impact it will have on your organisation/group or the community.
Are you a registered non for profit organisation?

YESNO
If yes, please provide your documentation or web address below

Cancelof
Web address
Is this a recurring donation request?

YESNO
How will you recognise or acknowledge our donation?
(Describe how they plan to recognise Beechworth Bakery's contribution, e.g., social media mentions, logo placement, event signage, etc.)
Additional Information:
(Include any additional information or supporting documents you believe are relevant to your donation request.)
By submitting this donation request form, you acknowledge that we cannot guarantee approval of all donation requests. If your request is approved, we will contact you via email.
Signature

Clear
Date

MonthDayYear
Date
Please click submit to complete this form for Beechworth Bakery Yackandandah.

Thank you for your suggestion to help Beechworth Bakery make a positive impact in the community.
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Donation Request Form - Yackandandah