Tuesday Titans Donation Request Form

Date of Request: *

Member Information

Your Name *

Your Email *

Phone *

Organization/Individual Receiving Donation

Name of Organization/Individual: *

Contact Person (if applicable):

Email (if applicable):

Phone Number (if applicable):

Address (if applicable):

Website (if applicable):

Donation Details

Amount of Donation Requested: *

Purpose of Donation: (Please provide a detailed explanation of how the donation will be used and why it is important)

How does this align with the Tuesday Titans' values/mission? (Explain the connection between the request and the goals of the Tuesday Titans)

Have you or other Tuesday Titans members supported this organization/individual before? If so, please provide details.

Is there a specific deadline for this donation? If so, please specify:

Will there be any recognition for the Tuesday Titans for this donation? (e.g., name on a program, thank you letter) If yes, please describe:

Supporting Documentation (Optional)

Please attach any supporting documents (e.g., brochures, project proposals, letters of request).

Description of Attached Documents:

Member Agreement

I understand that submitting this form does not guarantee approval of the donation request. All requests will be reviewed by the designated committee/group within the Tuesday Titans.

I have provided accurate and complete information to the best of my knowledge.

Submission

Date Submitted: *