To be considered for a charitable donation, please complete the form below.
ALL REQUESTS MUST BE COMPLETED ONE MONTH PRIOR.
Date Submitted:
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When do you need to receive the donation?
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Name of Organization:
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Street address:
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City:
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State:
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Zip code:
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Contact Person
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Last name:
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Phone number:
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E-mail:
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Is your organization a non-profit or public tax-exempt organization as defined under Section 501(c)(3) of the Internal Revenue Code?
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Requested item or amount:
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Description of event:
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Where and when will the event take place?
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What specific benefits/outcomes will be realized with this donation?
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Are any Buck employees affiliated with your organization? (for example, as volunteers, beneficiaries of your services or as paid employees)
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