Donation Request Form - DonationXchange

Please make sure you have your 501c3 number and IRS tax verification document ready before filling out your donation request. We require that your organization is a registered 501c3 organization and that you attach your document in PDF form.

Pick Organization Country and Type

* Country:

* Organization Type:

Organization Search

Search:

State/Province:

Classification:

Organization Info

Please fill out any missing organization information below.

Check here if you are submitting for a chapter of a national or larger organization

* Tax ID: If you know the Tax ID it will speed up the processing and verification of your request.

* Organization Name:

* Alternate Name:

* Doing Business As or Chapter:

* Year Established:

* National Taxonomy of Exempt Entities (NTEE) Code:

* Mission Statement:

* Org Contact First Name: (Providing a contact at the organization will speed up the processing of your request.)

* Last Name:

* Title with the Organization:

* Organization Address:

* City:

* State/Province:

* Zip/Postal Code:

* Primary Organization Email:

* Primary Organization Phone:

Website:

Principal Individuals and Board Members :

Requester Primary Contact Information

* Prefix:

* First Name:

* Last Name:

* Email Address: (this will be in the email used to communicate the status of the request moving forward. please verify the email)

* Primary Phone:

Cell/Other Phone:

* Title/Relationship to Organization:

Referred By:
(if applicable)
Please enter the contact name of the person at this organization who requested you to submit your request. Leave blank if no one referred you.

Referred By Email:

Event Details

* Event/Program Name:

* Short Description:

* Event Start Date:

Event End Date for Multiday Events (optional):

* Event Location and Address of Event: (include Street, City, State and Postal Code)

* Number of Guests:

Donation Request Form

* Item donated will be used for:

Confirmation

* Attach Files:

Select

• Certified 501(c)(3) document (Not Tax-Exempt form)
• Documents that describe your event, or any other related document.
(Click on Select button to attach multiple documents. The files should be selected from a folder on your computer. The files will be listed under the attachment box. Files will be uploaded when you click submit. Attachments must be in one (1) of the following formats: Pdf, doc, docx, xls, xlsx. Limit the file size to less than 10MB.)

Additional Comments (optional):

Get Audio Code

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* Your Birthdate: Applicants must be 14 or older to submit requests. Please enter a valid birthdate, it will not be stored.

Please click the Submit Form button only once, to avoid multiple transactions/donation requests.