Donation Request Form

Our main focus is hunger fighting initiative in our community.

No individual fund raising
No independent sports teams
In order to be considered for a donation the following guidelines must be observed:
Must fill and submit this form at least 3 weeks in advance of requested donation date.
Incomplete or missing information forms will not be considered.
Also, please be advised that requests are reviewed twice monthly on the 15th and the 30th of each month. Please complete all fields below.
Please make necessary arrangements for your pick up.
When finished, click the “Send Donation Request” button on the bottom of the form.

If you have any questions prior to submitting your request, please contact us.

Donation Notes

Total Donation Value (Use Numbers Only)

Please choose your local ShopRite *

Type of Organization *

Type of Request *

Please Upload Your 501c3 Form *

Click or drag a file to this area to upload.

Acceptable file types are PDF, DOC & DOCX

Status *

Your Information

Organization Name *

Name *

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone - Please provide a number that we can reach you. If we are unable to reach you by phone, then the donation will not be processed *

Alternate Phone

Email *

Tax ID # *

Price Plus # *

Website / URL

Has your Organization requested a donation from ZFK in the past year? *

Yes
No

Please describe your group/organization and mission. *

Specific items that you are requesting for your event *

Event/Activity Information

Name of Event *

Event Location *

Event Date *

Response Needed By *

Requested Pick Up Date *

Requested Pick Up Time *

Please describe the Event or Activity, including how many participants are expected, what activities are planned, and specifically how a ShopRite donation would be used. *

Please describe the recognition ShopRite will receive. *

Please describe why you chose ShopRite.

Please upload any W9, IRS Letter of Determination, Organization Logo and any Photos from a past event

Click or drag files to this area to upload. You can upload up to 5 files.

Will you provide us with pictures from your event? *