Donation Request Form
Please fill out this form to request donation from our organization. You will receive a response within 5 days at most. If CycleBar donates free rides to your organization, we will prepare a swag bag with the certificate for you to pick up during our scheduled class times. If you are requesting a private ride our manager will be in touch to go over options and details.
Does this request come from an individual or an organization?
Individual
Organization
Organization Name
Name
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Format: (000) 000-0000.
Event Name/Description
Describe the event and how you hope a donation from CycleBar Greengate will help.
Who will benefit from this donation?
ex. nurses, teachers, students etc.
Event Date if applicable:
-
Month
-
Day
Year
Date
CycleBar Greengate offers three standard donations depending on 501c3 status:
One month unlimited rides ($199 value) - this option is almost always granted to 501c3 organizations. This option is not typically available for requests that are not a 501c3.
3 ride credits ($79 value) This option is available for most requests, regardless of 501c3 status.
Private Ride discounted rate of $200 (normally $500 so this donation is a value of $300) This option may be used in combination with other donations. Many organizations like to host a private ride and you may charge your participants directly to generate funds. We provide the room, the instructor, the front desk staff and depending on the time of the ride, you may have access to the community room after your ride.
Are you a 501c3?
*
Yes
No
If yes, please provide 501c3 documentation:
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We love to support our RVA community and we especially like to support our riders who are passionate about helping organizations. Please tell us about your relationship with Cyclebar Greengate and your relationship with the benefactor of this donation:
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