Online Donation Request

Items marked with an asterisk (*) are required.

Organization/Event Information

Organization:

What type of group is your organization?






Event Name:

Event Date:

Event Description:

Tax Exempt 501(C)3:


Donation Request

Items Requested

Request Details

Request Deadline:

How will the donation be used?


Contact Information

First Name: *

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Last Name: *

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Phone Number:*

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Email: *

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Where should we send the donation?

Mailing Address: *

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City: *

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State: *

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Zip: *

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All proposals will be reviewed within 30 days.
If your organization fits our criteria, we will respond within 30 days.

Please note: our contributions are often in the form of Gift Cards/Vouchers that can be used at Bosselman locations, or, may be branded merchandise. We may also offer you the opportunity to fundraise through our company.