EmailMe Form - Donation Request Form

Just a Reminder:

Luke's does not, unfortunately, consider any donation requests for organizations that represent or in any way sponsor children and other youth events. We do not feel that it is appropriate to associate the name of a wine and spirits retailer with our community's youth.

Your Name: *

First Last

Your Phone: *

### - ### - ####

Email: *

Confirm E-Mail:

About Your Organization:

Name of Organization Seeking Donation: *

Is it a 501c(3)? *

Yes

No

If the organization is tax-exempt, please attach a copy of the tax-exempt certificate.

What is the organization's mission statement: *

Website address of the organization:

Has the organization received a donation from Luke's in the past: *

Yes

No

Your relationship to the organization: *

Name of organization's Executive Director: *

Name of organization's Board President: *

About the Donation:

Name and type of event at which the donation will be used: *

The event's goal: *

What will the donation be used for? *

Refreshments

Prize

Auction Item

Other (Please Specify)

Other:

The exact donation you are seeking: *

If requesting refreshments, how many people do you wish to serve:

Recognition to donors at the event, prior to, subsequently, etc.: *

Please provide any other details you feel are important for us to know about the event: *

Location Basics:

Date & Time Needed: *

MM / DD / YYYY HH : MM AM/PM

Name of person who will pick it up: *

Best method to contact that person: *

Phone

E-Mail

Phone Number or E-Mail Address: *