Donation Form Name of organization* Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Contact name* First Last Who should Peoples contact about this application?Title of contact Email of contact* Phone number of contact*Date of event* MM slash DD slash YYYY Location of event* Type of request* Goods / Services Cash If cash, amount requested. Give a brief description of your organization or event*Explain how donation/sponsorship will be used and who will benefit from the funds.*Will Peoples have exclusivity in the program or event?* Yes No How will Peoples be recognized for its participation?*
