DONATION REQUEST FORM
Thank you for thinking of Southern Routes Boutique for your fundraiser or event! We love to help non-profit organizations, schools and sports as much as we can. Monthly, we have a set amount of funds designated to give back to our community. Please understand that your request may or may not be approved based on the number of requests being submitted/approved for that month. All requests should be submitted as early as possible (please submit at least 30 days prior to your event.) We cannot guarantee donation requests for immediate approval. All requests must be made in writing through this form. We are unable to fulfill requests made in person, by phone, email, text or social media messages. Please take a moment to fill out this form and include any flyers/forms you may have. Thank you!
Date
*
Contact Person
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Organization Name
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Is this organization a 501c3?
*
Yes
No
If yes, please provide 501c3#:
Organization Mission
*
Has your organization received a donation from us in the past?
*
Yes
No
Not Sure
If yes, when?
Your relationship to the organization
*
Name of event
*
Type of event
*
How will the donation be used?
*
How is recognition given to donors?
*
At the event
Prior to event
Other
Please explain:
What type of donation are you requesting?
*
Gift Card
Auction Basket
Sponsorship
Other
Additional Comments:
Please upload any documents or forms you would like us to fill out:
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of
Date Needed
*
-
Month
-
Day
Year
Date
Person Picking Up Donation
*
First
Last
Phone Number for Pickup Person
*
Please enter a valid phone number.
Thank you for your request!
Submission of Donation Request Form does not guarantee donation availability. If we are able to accommodate your request, we will contact you. Please understand we receive a lot of donation requests, and while we do our very best, it is simply not feasible to fulfill all of them. Thank you!
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