Charitable Giving & Request Form

*First Name
*Last Name
*Email
*Direct Phone No./ Ext	( ) –
*Name of 501(c)3 Organization
*Street Address for Organization
*Organization’s Phone Number	( ) –
*Website
*Which best describes who you are?
*Date of Event
*Name of Event
*Type of Donation
*Specific Description of Donation
*What, if any, other involvement has your organization had with our spa?
*Have you applied for assistance before? When?
*Will you need any specific marketing materials from our spa? If so, please explain.
*Will there be any businesses similar to ours supporting/attending your event?
*If yes, please specify the similar business type
*Other (specify business type based on question above)
*Have you solicited (will you be soliciting) similar businesses and what has been their response?
*How will Love Thyself Day Spa be advertised, promoted, and recognized?
*How will you report the impact of our contribution back to us?

Love Thyself Day Spa