Donation Application Name of Organization*Name of Event*501(c)3 NumberWhich Kimberton Whole Foods location is geographically closest to this event or organization?*CollegevilleDouglassvilleDowningtownKimbertonMalvernOttsvilleWyomissingEvent Date (at least six weeks from date of submission)* MM slash DD slash YYYY Contact Name* First Last Organization's Mailing Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Event Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Description of Event*What are you requesting?* In-kind donation | Raffle item, Gift card, Refreshments Event Participation Sponsorship How many people will be attending this event?*Please share more about your community engagement opportunity, including how Kimberton Whole Foods would be acknowledged.*Share a link here to an online event flyer, Facebook page, sponsorship levels, or specific website page sharing more about your organization and/or opportunity.*If a link is not provided, weโll reach out with any questions. No need to reach out to the store with additional information. Kimberton Whole Foods Weekly Email Newsletter Please sign me up for your mailing list Δ