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Donation Request Form
Thank you for your interest in seeking support from The Children's Farm at The Center. We are dedicated to making a positive impact in our community and supporting initiatives that align with our mission. Please fill out the form below to submit your donation request. We ask for detailed information to help us understand your needs, evaluate your request, and ensure that our support will have the greatest impact. All fields marked with an asterisk (*) are required. Once your request is submitted, our team will review the information and reach out to you if further details are needed. Submitting this form does not guarantee approval of your donation request, but we will carefully consider each submission based on our available resources and alignment with our mission. Please note donations must be picked up from the Main Office at The Center at 12700 Southwest Highway Palos Park, IL 60464 within seven days of request approval.
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Requestor's Full Name
*
Requestor's Email Address
*
Requestor's Phone Number
*
Organization Name
*
Organization Address
*
Address Line 1
Address Line 2
City
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Colorado
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District of Columbia
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Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
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Nevada
New Hampshire
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Ohio
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Oregon
Pennsylvania
Rhode Island
South Carolina
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Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Requestor's Position or Affiliation with Organization
*
Employee, volunteer, etc?
Fundraiser Date
*
Fundraiser Location
*
What is the timeframe for your donation needs?
*
Please specify the timeline for receiving the donation (e.g., event date, project deadline).
What is the purpose of your donation request?
*
Please describe how the donation will be used and the goal or impact it will have (e.g., funding a specific project, event, or initiative).
How many people are expected at your fundraising event?
*
Please provide a brief description of your organization or initiative.
*
Provide an overview of your mission, goals, and key activities.
Please documents organization
Does your organization have 501(c)(3) status?
*
Yes
No
If so, please provide your EIN below.
Please upload any supporting documents or additional information (optional):
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Choose Files to Upload
For example, brochures, project proposals, photos, 501(c)(3) status letter, or event flyers.
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