Department/ Organization Requesting Donation:
Please enter your full name Contact Phone:
Date Donation Needed:
Please enter the date when you would like your donation ready for pick-up. Event Name:
Please state the event at which the donation will be awarded Expected Number of Attendees:
Please enter the anticipated number of attendees present at the time the Bookstore will be recognized or the prize will be awarded. Manner of Recognition:
Please describe how the Bookstore will be recognized for having provided the donation. Examples include P.A. announcements, listing in programs, advertising or other printed materials, web site listings, etc. Event Description:
Please describe the type of event, and provide any relevant information regarding how the donation will be utilized, or how individuals or organizations will benefit from this donation.
The Bookstore reserves the right to determine whether a donation will be in the form of merchandise or gift certificates.
Description of Other:
If you have very specific merchandise in mind, or checked "Other," please provide details here.
Certification of Accuracy and Authorization By checking this box, you are signifying the the information provided is true and accurate, and that you are authorized to request a donation on behalf of the organization or entity listed. Electronic Signature:
Please re-enter your name to provide an electronic signature for this request.