Donation Request Form

(Please submit at least 6 weeks prior to event)

(format: ###-###-####)
(format ###-###-####).

Event Info

Provide a name for the event.
(Overview, demographics, location -- Please enter Plain Text only -- 500 character limit)

Organization Info

Donation Info

(Choose Londonderry, NH for raffle/auction items)
(34°F-40°F) (use N/A for raffle/auction item requests)
(use N/A for raffle/auction item requests)
(please specify)