DONATION REQUEST FORM

Today's Date

YYYY

Location

What location are you interested in?

Your Organization

501 (c)(3) No:

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Fax

(###)

###

####

Contact Person

First Name

Last Name

Description of Organization

(purpose, activities, membership)

Request is for?

In-Kind

Service/Volunteer

Share-Give Hope Event

If applicable, why won't a SHARE-GIVE HOPE event work for you?

How will Twigs be recognized for this contribution?

Event Date and Location

Projected Attendance?

Describe Event/Activity

Number of people this request may benefit?

Is the event open to the public?

What other organizations are supporting the event/activity named in this request? Please list the amount of support form each?

Do any Twigs employees support this organization, through volunteering, on boards or committees or through financial contributions?

If Yes, Please indicate: (required)