To be considered for a charitable donation, please complete the form below.
ALL REQUESTS MUST BE COMPLETED ONE MONTH PRIOR.
Date Submitted:
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Month
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Day
Year
Date
When do you need to receive the donation?
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Month
-
Day
Year
Date
Name of Organization:
*
Street address:
*
City:
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State:
*
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DE
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Zip code:
*
Contact Person
First name:
*
Last name:
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Phone number:
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E-mail:
*
Is your organization a non-profit or public tax-exempt organization as defined under Section 501(c)(3) of the Internal Revenue Code?
*
Yes
No
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Requested item or amount:
*
Description of event:
*
Where and when will the event take place?
*
What specific benefits/outcomes will be realized with this donation?
*
Are any Buck employees affiliated with your organization? (for example, as volunteers, beneficiaries of your services or as paid employees)
*
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