York Charity Request

YORK cares deeply about our community. We are committed to supporting locally-based, not-for-profit organizations that directly benefit members of the Ann Arbor community. If you are not from a not-for-profit organization, we consider you a customer and thank you for your patronage.

We are specifically interested in causes that enhance opportunity for the underserved, benefit marginalized members of our community, and enhance quality of life for individuals and families living in Washtenaw County.

We ask that everyone requesting a donation understand that we need time to evaluate and respond to requests. Please submit this form no later than 30 days before you need an answer.

Name of Organization*

Tax ID Number (required for all donations)*

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Contact Name*

First NameLast Name

Contact Email*

Phone Number*

Area CodePhone Number

Are you based in Ann Arbor?*

YesNoOther

Are you a not-for-profit?*

YesNo

What is the stated purpose or mission of the Organization?

Tell us about your organization

Who specifically benefits from the activities of the organization?

Please list key administrators and board members.

Organization Website

Event Name*

Event Location*

Date*

MonthDayYear

Please describe the event.

Explain who will attend and what is the desired outcome for the organization and its beneficiaries.

Event Website

Estimated Attendance

What sort of donation are you requesting?

Please describe in detail what the requested item is and how it will be used?

How will donation and our company be advertised?*

Has your organization received a previous donation?*

YesNo

Additional information or comments about the donation requested

York Food & Drink

Community Donation Request Form