EmailMe Form - LLPB Charity Donation Request Form (501(c)(3)

Organization Information

Organization Name: *

Contact Name: *

First Last

Email Address: *

Phone Number: *

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

Website (if applicable): *

Tell us a little about the mission of your organization.

501(c)(3) Verification

Are you a registered 501(c)(3) nonprofit? *

Yes

No

EIN (Tax ID Number): *

Please upload or attach your IRS determination letter: *

Event Details

Name of Event: *

Event Date: *

MM / DD / YYYY

Event Location: *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Brief Description of Event: *

Donation Request

Type of Donation Requested: *

Gift Card

Product/Item

Sponsorship

Other:

How will the donation be used?
(e.g., raffle, silent auction, attendee gift, etc.) *

Estimated Number of Attendees: *

Community Connection

Have you ever supported or shopped at Lilly Lovers of the Palm Beaches? *

Yes

No

If yes, please share how you’ve engaged with LLPB:
(events attended, shopping, volunteering, etc.) *

Promotion & Recognition

How will Lilly Lovers of the Palm Beaches be recognized? *

Social Media Mention

Event Signage

Email Marketing

Other:

Please share any links to your social media pages: *

Additional Information

Why would you like Lilly Lovers of the Palm Beaches to support your organization? *

Agreement

By submitting this request, I understand that:

Submission does not guarantee a donation or sponsorship.
All requests are reviewed based on alignment, availability, and timing.

Signature: *

Clear

Date: *

MM / DD / YYYY