Donation Request Form

Thank you for thinking of us for your donation request. As a small business, we are honored to support our community whenever we can. However, due to the high volume of requests we receive, we are unfortunately unable to accommodate every submission.

All donation requests must be submitted through this form so our team can review them fairly. While we would love to personally respond to every request, the growing number we receive makes that difficult. If you have not received a response within 5-7 business days, it means that we do not have the capacity to support your request at this time.

Please do not call the store to check on the status of your request. Our in-store staff who answer the phones do not have access to donation request information and are unable to provide updates.

We truly appreciate the work being done by the many organizations in our community and thank you for considering us as a potential supporter.

I acknowledge that I have read and understood the information provided above.

Signature*

Name of Organization*

Address of Organization

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number

Area CodePhone Number

Contact Name*

First NameLast Name

Contact Email*

example@example.com

What is the purpose of your organization?*

For-profitNonprofit

If nonprofit please include your tax ID#

YesNo

How will the donation be utilized?

Gift CardFoodMoneyOther

If Other, please specify:

Will specific mention be made of our support? How?

Date donation is required by:*

Date

Additional requests or comments: