Donation Requests ⋆ South Royalton Market

Donation Request Form

*Please note our new policy which states that all donation requests need to be submitted at least 30 days prior to the date needed.

Name of Requester

Name of Organization

Phone

Date of Request

Date Needed By

Date of Event

What is the donation for?

Requested Items/Amounts

May the coop advertise this donation?

Yes No

Have we donated to this event in the past?

Yes No

Date of last donation

Amount/items we donated in the past

*If you don't know the exact date, please just use an approximate day within the month/year