Donation Request Form

Talbot Optimist Club 2020 Recommendation for Charitable Donation

Submit by a member of the requesting organization no later than Feb 3, 2020

Please email OR snail mail a brochure/information about this organization to the following:

geoffbern@gmail.com

Talbot Optimist Club
c/o Geoff Bernstein
8758 Roundhouse Cir
Easton, MD 21601

Organization Information

This section is the organization information. This can be the information of the main contact for the organization if needed.

Charitable Organization

What is the name of the charitable organization requesting donations?

Organization Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Main Organization Contact Name

First Name

Last Name

Organization Phone

(###)

###

####

Organization Contact Email

Organization Website

http://

Brief Description about Organization

Purpose of Request

Number of participants in organization's program

Number of people expected to benefit from this request

Short history or organization

Organization's annual budget used for management & overhead

Other information unique to this request

Discrimination Policy Request

Does your organization discriminate against race, sex, sexual orientation, other?

Yes

If yes, please explain

Amount Requested

Please email/mail a brochure/information about this organization to the following: TalbotOptimistClubTreasurer@gmail.com OR Talbot Optimist Club, c/o Geoff Bernstein, 8758 Roundhouse Cir, Easton, MD 21601

If you are a returning group requesting a donation, did your group help with our tree lot?

If your group has not, please remember that the majority of the donations we give come from the Christmas Tree Lot.

Optimist Member Name (Sponsor)

Please select a Optimist member that you have spoken to about sponsoring your group. If you need a sponsor please feel free to email the president about being sponsored