Donation Request Form - Pioneer Evergreen Farms

Forget-Me-Not Florist is happy to provide support to a wide range of charities and community organizations each year. In order to clarify information and quicken response time, we respectfully ask that you complete and submit this form at least four weeks in advance of the event. In order to accommodate as many organizations as possible, we request that each organization limit requests to one per year.

Name*
First Last
Contact Number*
Email*
Role with Organization*
Name of Organization*
Organization Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Organization Phone*
Organization Fax
Organization Email*
501 (C)(3) Number*
Website
EVENT INFORMATION
Event Name*
Event Type*
Event Date*
Date Format: MM slash DD slash YYYY
Expected Attendance*
Response Needed By*
Date Format: MM slash DD slash YYYY
What are you requesting?*
In 200 words or less, please tell us a bit about your group/cause and how our gift might help you.*
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