In-Kind Donation Requests

Please complete and return this form for consideration of your request for in-kind donations.

Note that all requests must be received at least 30 days prior to your event.

    Today's Date:

    Date of Event:


    Your Email Address:


    Name and Title of Organization Contact:

    Name of Event:


    Organization Name:

    Please provide your federal tax identification number:


    Full Mailing Address:

    ZIP Code:


    Brief description of organization:

    How many people will be affected by your organization or this event:


    Have you received support from the History Center in the past?

    YesNo

    Are any History Center employees involved in your organization?

    YesNo

    If so, who, and in what capacity?


    How will the History Center be recognized for its support?