What is the name of your organization?

Who is the Point of Contact for this Request?

Point of Contact Phone Number

Point of Contact Email

Organization Street Address

City

State

ZIP Code

County

Website

EIN Number

What type of organization are you? (501c3, etc.)

How many employees are in your organization?

What size donation would you like to request?

Please give a brief description of the reason for your request.

Office Depot

Publix

Neiman Marcus

Applebee's

Big Lots

BJ's

Brook's Brothers

Camping World

GE

Microsoft

Major League Baseball

Boeing

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