folliage

    Donations Request Form


    Date Donation Needed*
    MM/DD/YYYY
     
    Contact Information
    First Name:*
    Last Name:*
    Company:*
    Title:
    Address 1:*
    City:*
    State:*
    ZIP:*
     
    Phone Number*
    (###)###-####
     
    Alternate Phone Number
    (###)###-####
     
    Email Address*
    user@example.com
     
    Type of Organization*
    Profit
    Non-Profit
     
     
    Organizations Primary Mission*
     
    Name of Event at which Donation will be used*
     
    Type of Event at which Donation will be used*
     
    Goal of Event - To Raise Awareness? To Raise Funds?*
     
    Who/what will benefit from this donation?*
     
    How will the donation be used?*
    Auction, prize, goody bags, etc.
     
    Type of Donation Requesting*
    Service
    Monetary
    Gift Certificates
    Hotel Nights
     
    How will KeyLime Cove Water Resort be recognized?*
     
    Has your organization requested a donation from KeyLime Cove Water Resort within the last 12 months? (If yes, list dates and details.)*