Donation/Event Request Application

Organization Information

Organization name (Legal name and acronym, if applicable)

If your organization is a subsidiary, please list the parent organization

Website URL of event or requesting organization

Is your organization an IRS pre-validated non-profit or public tax-exempt organization, as defined under Section 501(C) [We can only provide support to organizations who can provide us a valid IRS 501C determination letter]

501(C) federal tax ID number

Format 12-1234567 If you are a non-profit and don’t have a Tax ID number (e.g. Schools, Faith Based Organizations, and Scouts), please just enter 12-1234567 to continue)

Executive Directors Name

Contact Name

First NameLast Name

Job Title

Contact Phone Number

Area CodePhone Number

Contact Email Address

example@example.com

Organization Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Which of the following best represents your organizations primary area of focus?

Have you ever received a donation or requested/had an event from Tootsies in the past?

If yes, list dates, amounts, and nature of donations/events

Year organization was founded

Organization's mission and purpose

Describe the services your organization provides

Do any Tootsies employees currently volunteer with or serve on the board of your organization?

If yes, please give their name, title, and location

Is your organization currently supported by another women's apparel retailer?

Request Details

Is this donation/event request for a specific event?

What is the name of the specific program or event?

Date of event

Date

Please describe the event or program. If for an event, please include specifics such as location, time, etc.

How many people are expected to attend the event / program?

How many people attended the event / program last year?

Please indicate how you plan to promote this program or event (check all that apply)

Do you plan to use the Tootsies logo in your event/program materials if we provide you with a donation?

If so, please explain how you would use the Tootsies logo. (Including formats/file types, etc)

Will Tootsies receive any advertising for this event?

If so, please provide the necessary ad specs and deadline

How will you recognize our contribution?

Type of Support Requested

What type of support are you requesting?

If requesting gift card support, please include the dollar amount

Please describe the type of support you’re requesting (for example, if requesting product, please include the type, quantity, etc. Please include any sponsorship levels and pricing)

Most recent 501(c) Determination letter

Upload a File

Current signed W9

Upload a File

Donation request cover letter

Upload a File

List of sponsorship levels, if applicable

Upload a File

Additional documentation

Upload a File

Select Store Location

How did you or the organization hear about our community outreach?

If you were invited to submit or referred to Tootsies by an employee or customer, please include their information here:

Please include any final comments