Donation Request

We would love to hear from you! Please fill out this form and we will get in touch with you shortly.

Organization's Name(*)

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Organization's Address(*)

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State(*)

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County(*)

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Organization's Website

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Is Your Organization a 501C3?(*)

YesNo

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Briefly Describe the Organization(*)

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What are You Requesting?(*)

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What will the Donation be Used For?(*)

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What Communities or Counties will the Donation Help?(*)

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Does the Organization have an Endowment Fund?(*)

YesNo

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Has the Organization Requested Donation(s) from G&M Before?(*)

YesNo

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When Do you Need the Donation?(*)

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Please note: due to increased requests G&M requires at least 45 days notice for all requests.

Your Contact Information

Name(*)

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Phone(*)

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Email(*)

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