R.F. Moeller Jeweler | Donation Request Form

Donation Request Form
Contact Person:
Phone:		Fax:
Email:
Name of event:
Event Date:
Type of Event:
What type of donation are you requesting?
Monetary Details
Are there various levels of sponsorship/donation?	Yes No
Describe:
At what level are you requesting that R.F. Moeller Jeweler participate?
In-kind Details
Date donation is needed:
How will the donation be used: (raffle, door prize, etc...)
Do you want the item to be of a particular value?:	Yes No	how much?
How will R.F. Moeller Jeweler be promoted?
Do you need R.F. Moeller Jeweler to supply logo or artwork?	Yes No
if yes, describe including due date:
Are any other jewelers participating?	Yes No
Has your organization requested a donation from R.F. Moeller Jeweler previously?	Yes No
Has your organization received a donation from R.F. Moeller Jeweler previously?	Yes No
Why did your organization select R.F. Moeller Jeweler to solicit for a donation?
Do you have a contact at R.F. Moeller Jeweler?