Donation Request Have a donation request? Please fill out this form. Today's Date* MM slash DD slash YYYY Organization Information Donation Type* Bring-a-Bag for Change RecipientGeneral Donation Legal Organization Name* Organization's Area of Focus* Children & FamilyAnimal WelfareEnvironmental SustainabilitySupporting CooperativesCommunity Advocacy Tax Status* 501c3SchoolChurchPublic Entity Tell us about your Organization and Mission* Organization Website* Event Information Name of Event Event Date MM slash DD slash YYYY (4 weeks ahead required) Event Description Donation Request Type* Store Gift CardStore ProductBring-a-Bag for change recipient Where will the donation be used?* City / State / Zip Code Has The Common Market donated to your cause in the past?* Yes No If so, when? (ex. January 2018) What assistance was provided? How many people are expected to attend this event?* Please enter a number from 0 to 100000. Please list sponsorship levels and any other sponsors for this event. Will sponsors be recognized? If so, how? Additional Attachments –– flyers, posters, announcements, etc. Max. file size: 40 MB. Contact Information Organization Primary Contact Name* First Last Primary Contact Email Address* Primary Contact Phone Number*