In-Kind Donation Application

In-Kind Donation Request

Apply for an in-kind donation from Bergey’s Cares by completing the form below. All required fields must be filled out to be considered.
Organization Name
Organization or Event Website
Is your organization a non-profit or public tax-exemptorganization as defined under Section 501(c)(3) of the Internal Revenue Code?

In-Kind Donation Items

Our In-Kind Donations are in the form of an item that can be used for a raffle or auction. Donations must be requested 4 weeks in advance of the date needed, and must be picked up at a Bergey’s Location.
Date Requested (Donations must be requested 4 weeks prior to the date needed.)

MonthDayYear
Date
Choose where you will pick-up the donation. (Please note: donations must be picked up at a Bergey’s location.)
Your Name
Your Email
ex: john@gmail.com
Phone
Please enter a valid phone number.Format: (000) 000-0000.
Please upload any documents that will inform Bergey’s Cares about the details of your event.

Cancelof

501(c)(3)

Bergey’s Cares philanthropic focus is 501(c)(3) organizations. Therefore we cannot assist with this request. Thank you!
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In-Kind Donation Request