Donation Request Form

Donation Request Form For Goeman's RapidMart

Goeman’s Rapid Mart values the importance of supporting our community and the people within it. We strive to positively impact the community in as many ways as we can, however, we simply cannot fulfill every request. We do not necessarily donate to the same organizations each year; we try to spread the generosity across the community.

Please complete the following questions to request a donation. We will review each request and notify the contact person if we are able to grant the request.

Please make your request at least 2 weeks in advance.

Goeman's Location From Where Donation Request Is Made And Dates :

* Indicates required field

Goeman's RapidMart Location *

Todays Date *

Event Date *

Date Donation Needed By *

Name Of Organization And Contact:

Name Of Organization (Please, no abbreviations) *

Name Of Contact *

First

Last

Contact Phone Number *

Contact Email *

Relation To Organization *

Event Information And/Or Use Of Funds:

Event Title *

What Will This Donation Be Used For? *

Auction Raffle Door Prize Other

If Other Please Describe Here: *

Location Of Event: *

Additional Information: *

Submit