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Donation Request- Maryville Florists

214 N. Main St. Maryville, MO 64468 660-562-3066 www.maryvilleflorists.com

Each year our company allocates a budget to support community activities through contributions.

However, requests have become so numerous that they exceed our financial capabilities. Therefore, we must put some structure to our donations to fairly distribute to as many organizations as possible. The purpose of this form is to aid us determining if we will be able to make a contribution at the time requested. We thank you for your cooperation and taking the time to fill this request out completely. If a donation is granted this authorizes Maryville Florists to use the organizations name as a donation recipient in any of Maryville Florists advertising. Please remember to shop local so the entire community benefits.



Name of Organization ________________________________________________________________

Name of Person Making This Request

Phone: ________________________________________

Email: ________________________________________

What is the purpose of your organization?

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Is this a for-profit or non-profit organization?

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Have you received previous donations from us? (yes/no)

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Is this organization or the person making the request a customer of our company? (yes/no)

________________________

If the organization is not a customer, what prompted you to request a donation from this company?

_______________________________________________________________________________________________

_______________________________________________________________________________________________

_______________________________________________________________________________________________

_______________________________________________________________________________________________

What type of donation are you looking for? Please be specific.

_______________________________________________________________________________________________

_______________________________________________________________________________________________

_______________________________________________________________________________________________

_______________________________________________________________________________________________

How will you be using it?

_______________________________________________________________________________________________

_______________________________________________________________________________________________

_______________________________________________________________________________________________

_______________________________________________________________________________________________

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Date of event:

_______________________

Time needed to be picked up:

_______________________


For Office Use Only

Value $ __________________    Invoice # __________________

Item(s) donated: _______________________________________________

Date: __________________