Donation Request Form | Alderbrook Resort & Spa

First Name *

Last Name *

E-mail *

Organization Name *

EIN *

501(c)(3) Status *

Program or Project this donation will support

Mission Statement

Donation Desired

Event Details

Name of Event *

Event Date *

Approx. Number of Attendees *

What cause will this donation be going to support? *

Please go into detail about your event and how it is being promoted, below. *

ADDRESS WHERE YOU WOULD LIKE TO RECEIVE DONATION

Street Address *

City *

State *

ZIP *

Please note: A donation receipt printed on your organization's letterhead must be mailed to Alderbrook Resort & Spa within 15 days of receipt of any donation and must include: Name of recipient organization, Donors Name: North Forty Lodging dba Alderbrook Resort & Spa, Date of Donation, Fair Market Value of donation (for your reference, values will be stated on the Gift Certificate if issued), Organizations 501(c)(3) status, Signature of organizations representative. *