Community Outreach Donation Request FormName of Charity, Organization or Event:*Contact Name* First Last Contact Phone Number*Email* Deadline:Additional comments:Please check type of donation you are requesting:* Monetary In-kind (i.e., paper plates, napkins, cups, bottled water) Door prize Sponsorship (i.e., Golf, etc) If Monetary donation, include the following:(While we cannot fulfill every request, we strive to help as many as we can). Amount requested:Who to make the check payable (cannot be an individual):Mailiing Address Street Address Address Line 2 City State ZIP / Postal Code Recognition given for PioneerIf In-Kind, include the following:• How many attendees do you anticipate at event or number of items requesting:Pioneer trinket (i.e., ink pens, etc., paper products, bottled water, etc.):Recognition given for Pioneer:Door Prize, include the following:• Gift basket containing Pioneer trinket items OR Pioneer product (Specify):Recognition given for Pioneer:If sponsorship, include the following:Specify which is needed :LogoAdBannerColor Requested:Black/WhiteFull ColorExact dimensions:Format to email logo, ad or banner artwork (i.e., pdf, jpg, etc.):Email to send art to: Type of recognition Pioneer will receive:CommentsThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.