Donation/Event Request Application
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 Phone Number
Contact Email Address
Street Address Line 2
State / Province
Postal / Zip Code
Which of the following best represents your organizations primary area of focus?
Animal Protection / Services
Arts & Humanities
Children & Family
Civil Rights & Liberties
Cultural & Ethnic
Education & Schools
Environment & Conservation
General Social Services
Health & Wellness
Poverty / Homelessness / Shelter
Sports Teams or Clubs
Veterans & Military
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?
Is this donation/event request for a specific event?
What is the name of the specific program or event?
Date of event
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)
N/A none planned
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?
In-store Shopping Experience
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
Current signed W9
Donation request cover letter
List of sponsorship levels, if applicable
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
Should be Empty: