DONATION APPLICATION
Please review the attached guidelines prior to completing this application. To be considered,
your completed application must be received at least 30 days in advance of your “pick up” date.
Today’s Date:
Pick Up Date:
Organization Name:
*501(c)3 or 170(b)1 is attached? Yes
No
(see Donation Guidelines)
Street address:
Phone:
State:
Zip:
Webpage:
Your Name:
Position:
Phone:
Alternate Phone:
Email:
Briefly describe your request and how the donation will be used (attach additional pages, if necessary):
If requesting support for an event what is the Location:
Date:
Estimated Attendance:
How will Fairway Market’s donation be acknowledged?
Requesting (check one): Food
Gift Certificate
Gift Basket
On the organization’s letterhead, please summarize the request and how it will support
your mission. Include supporting material about your organization and its programs.
Has your organization ever received a Donation from us?
Yes
No
If so, what did we donate, how much, and when did we donate it?
OFFICE USE ONLY
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DONATION GUIDELINES
Thank you for your interest in a community donation from Fairway Market! Please review
the following guidelines prior to submitting your application:
Fairway Market follows specific guidelines when considering requests to support
community-focused initiatives from educational organizations and institutions, civic
organizations, social service agencies, houses of worship and other organizations.
In order to be considered, your organization should be:
* Not-for-profit organizations located in the communities served by Fairway Market stores
* Working within Fairway’s giving priorities, i.e. Community Improvement; Nutrition, Health and
Wellness; Environment; Youth and Education
Please Note: Individuals, political candidates and organizations, employee recognition events, pageants,
organizations without 501(c)3 status are ineligible for donations.
Guidelines:
* All donation requests must be submitted in writing on the organization’s letterhead,
describing the nature of the request and for what purpose the donation will be used.
* A copy of the organization’s 501 (c) (3) or 170 (b) (1) letter must accompany the request.
State tax-exempt forms cannot be substituted for these documents.
* Literature and printed material in support of the request may be submitted. This material will
not be returned to the applicant.
* Requests must be received at least 30 days in advance of the requested pick-up date.
* The donation application form must be fully completed.
* Requests by phone will not be accepted.
* No more than one request for a donation per calendar year will be accepted.
* Recipient organizations are responsible for picking up donations of food or food products.
Individuals picking up donations will be asked to sign a receipt.
* Recipients will be asked to acknowledge Fairway Market’s support and to include the Fairway
logo on related material.
* In order to be considered, you must submit your completed application to the Donations
Manager at your local Fairway Market.
Although we would like to support all worthwhile causes, due to the number of donation
requests, it is not possible for Fairway Markets to fulfill every request.