Donation Request Have a donation request? Please fill out this form. Today's Date* Date Format: MM slash DD slash YYYY Organization Information Donation Type* Bring-a-Bag for Change RecipientGeneral Donation Legal Organization Name* Organization's Area of Focus* Children & FamilyAnimal WelfareEnvironmental SustainabilitySupporting CooperativesCommunity Advocacy Tax Status* 501c3SchoolChurchPublic Entity Tell us about your Organization and Mission* Organization Website* Event Information Name of Event Event Date Date Format: MM slash DD slash YYYY (4 weeks ahead required) Event Description Donation Request Type* Store Gift CardStore ProductCommunity Room Class Pass Where will the donation be used?* City / State / Zip Code Has The Common Market donated to your cause in the past?* Yes No If so, when? (ex. January 2018) What assistance was provided? How many people are expected to attend this event?* Please enter a number from 0 to 100000. Please list sponsorship levels and any other sponsors for this event. Will sponsors be recognized? If so, how? Additional Attachments –– flyers, posters, announcements, etc. Contact Information Organization Primary Contact Name* First Last Primary Contact Email Address* Primary Contact Phone Number*
