Donation Request Form - DonationXchange

Pick Organization Country and Type

* Country:

* Organization Type:

Organization Search

Enter the organization name or tax id to search for organization:

State/Province:

Organization Info

Please fill out any missing organization information below.

* 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:

* 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)

* Est. Number of Attendees:

Donation Request Form

* Item donated will be used for:

Overview of Event*

Do you plan any publicity around the event? *

Yes

No

Donation you are requesting*

Tickets

Apparel

Memorabilia

Confirmation

Attach Files:

Select

You may attach documents that describe your event, your 501(c)(3) letter, or any other related documents.
(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 5MB per individual file.)

Additional Comments (optional):

Get Audio Code

Type the code from the image

* 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.