Organic Valley Donation Request Form

Organization Information

Name of Organization*

Address of Organization*

Shipping Address

(if different than organization address)

Contact Person*

Title/Position*

Email*

Phone Number*

Fax Number

Website Address

Your Organization's Non Profit (501c3)#

Gift Requested

Silent Auction Kit
Monetary Grant
Amount Requested

Event Information

Date(s) of Event

Name of Event

Purpose of Event

Goals for Event

How does this event align with Organic Valley's Cooperative Giving Guidelines?

Expected audience & number of attendees

Has Organic Valley donated to your organization in the past?

Yes No

Describe past donations

Product Donations

Note: Product donations are generally handled through a retail store pick up and are carefully reviewed before approval.

Type of Product	Unit Size	Quantity
Product Type 1	Unit Size 1	Quantity 1
Product Type 2	Unit Size 2	Quantity 2
Product Type 3	Unit Size 3	Quantity 3
Product Type 4	Unit Size 4	Quantity 4
Product Type 5	Unit Size 5	Quantity 5
Product Type 6	Unit Size 6	Quantity 6

Literature Request

Education Series: Mothers for Organic
Education Series: Fathers for Organic
Education Series: Recipe for Change

Organic Valley Recognition

Your organization must choose at least two of the following.Click here to download the Organic Valley logo.

Spoken acknowledgement at event REQUIRED

Media acknowledgement (check all that apply)

Radio
TV
Newspaper

Organic Valley Literature Distribution at event

Acknowledgement in your organization's Brochures/Programs/Newsletters

Website

Request display materials provided by Organic Valley:

Poster(s) Quantity

Table Tent(s) Quantity

Banner(s) Quantity

Note: Required fields are marked with an asterisk (*)

Requests

donation request form
donation followup form

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Organic Valley Donation Request Form

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