Donation Request

Donation's Form

Today's Date

Requesting Organization

First Name

Last Name

Phone/Mobile

Email Address

Location

Mailing Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Flo's Location

Tax ID#

Is the donation for a non-profit organization? (If yes, please provide your IRS designation as a 501 (C)(3) non-profit organization) *

Yes

IRS Designation

Choose File

Is this donation in association with a particular event?

Yes

If yes, when is the event?

Name of the event and a brief description or attach the event information

Event description file upload

Choose File

What kind of donation or charitable gift are you looking for?

Any additional comments, directions or details we may need to know

I consent to having this website store my submitted information so they can respond to my inquiry