Name of Organization*

Name of Event*

Are you a nonprofit organization or public agency (e.g. 501(c)(3) charity, school, law enforcement agency, etc.)?

YesNo

Your Name*

Phone Number*

Email Address*

Tell Us About Your Organization*

Briefly tell us about your event (what it is benefiting, how much you hope to raise, etc.)*

Tell us how our donation would be used to benefit your cause.*

How many people do you expect to attend?*

Date of Event*

Donation Due Date*

NOTE: You will not receive donation details until this date. Please keep this in mind when selecting a date

I understand that Marc-1 requires 2 weeks to prepare a donation*

My above due date is 2 weeks or more from today

Address

Street Address

Address Line 2

City

State

Zip Code

Would we be able to give a handout or promotional item to your participants?*

YesNo

If yes, Quantity

(ex: 1000)

Due Date for Materials

Upload any other information or form(s)

Notes

Marc-1 only gives in-kind donations. Due to the large number of donation requests received, monetary requests may not receive follow up, and follow up emails or calls prior to your selected due date above are not able to be returned. PLEASE ALLOW 1-2 WEEKS FOR YOUR DONATION TO BE READY. COMPLETION OF THIS FORM DOES NOT GUARANTEE A DONATION.