Community request form

Community request form
We gladly consider all incoming requests on at least a monthly basis. Please allow 4-8 weeks for processing time and be sure to request well in advance of your event date.

In an effort to use our limited resources to honor as many requests as possible, all requests must now be submitted online. Written requests, emails and phone calls will not receive a response.

We love hearing from you, but please refrain from emailing or mailing additional information. Instead, use the comments field to include any additional information you feel we should consider. If we are able to oblige, someone will contact you within 4-8 weeks with further details.
Organization name:*
Contact person:*
Phone:
Email:*
Event name:*
Event date:*

MonthDayYear
Date item/requested response is needed:*

MonthDayYear
Type of event:*
What type of support are you requesting?*
What type of support are you requesting?*

Appliance discountAppliance donationGift certificateCash sponsorshipOther
IMPORTANT: Please include details on appliance fuel type & measurements for HxWxD of space available for appliance (i.e. gas dryer, 33" width & 70" height for refrigerator).*
Are there various levels of sponsorship? Please include all:
To what address would we mail any materials or items? And to what name should any check be made out to?*
How will requested item be used?*
What is your connection to Warners' Stellian?*
Additional info:
Enter the message as it's shown*
Should be Empty: