Each year, our company allocates a budget to support community activities through contributions. We are pleased to do our part to assist your organization's programs. However, requests have become so numerous that they exceed our financial capabilities. Therefore, we must fairly distribute our support to as many organizations as possible. In order for us to evaluate your request, we ask that you complete this form. Thank you for your cooperation.
*Required Fields
Date :
*Name of Organization		Address :	*Phone :
Name of President / Manager :		Address :	Phone :
*Your Name :		Address :	*Phone :
*Your Email Address :
Is this organization a customer of our firm?			No Yes
Are you a customer of our firm?			No Yes
Is this a for-profit or non-profit organization?			For-Profit Non-Profit
Has this organization received support from us this year?			No Yes
Did this organization receive support from us last year?			No Yes
Are any florists members of your group or participating in your event?			No Yes
		If yes, who?
Will specific mention be made of our support?			No Yes
		If yes, how?
Are you or is your group associated with any Gainan's employee?			No Yes
		If yes, who?
Purpose of the fund raiser / event :
If requesting cash donation, what is the amount requested?		If requesting floral donation, what specific products are being requested?
Is a fee being charged for attendance?			No Yes
How many people are expected to attend?
Are the following being donated; and if so by whom?
	Donated :	By whom :
Facility :	No Yes
Food :	No Yes
Entertainment :	No Yes
Other merchandise :	No Yes
Printing :	No Yes
Publicity :	No Yes
Who will pick up the donation?		Phone :	Date Needed :