JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
donation request
Locally, Yours® is proud to support local non-profit organizations in our community.
To request a donation, please review the below guidelines.
We donate to US 501(c)(3) non-profit organizations.
We can provide a gift card donation, but due to the high volume of donation inquiries, it’s not possible to fulfill every request received. We do our best and wish we could donate to each request but we must keep our donations within our allotted budget.
We must receive the donation request at least 3 weeks prior to your event.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Name
*
First and last name
Your answer
Email
*
Your answer
Does this request come from an individual or an organization?
*
Individual
Organization
When is your event?
*
Your answer
What type of donation are you requesting?
*
Gift Card
Product
Other
Required
Tell us a little more about your event and how this donation will be used.
Your answer
Are you a US 501(c)(3)?
*
Yes
No
Required
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Creative Pear.
Report Abuse
Forms
