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Purely Wicked Donation Request
Your Full Name
Your Email Address
Your Phone Number
What is your relationship to Purely Wicked?
What organization are you requesting on behalf of?
Phone number of the organization you're representing.
Email of the organization you're representing.
What is the organization's mission?
What is your relationship to this organization?
Is this organization a registered non-profit or charity?
Is this organization a registered non-profit or charity?
A
Yes
B
No
Has your organization received a donation from us before? If so, please provide details.
What type of donation are you requesting? (I.e. raffle prize, gift card, sponsorship, etc.)
In what way will our donation be used?
How is recognition given to donors?
Event Name
Date of Event
Time of Event
Location of Event (Address)
Contact Person
Email of Contact Person
Phone Number of Contact Person
Any additional information you would like to include for us.
Submit
