Donation Request

It is our mission to support those organizations in our community that align with our values and mission. To request a donation, complete the form below or click here to download a PDF version (print, fill out, and return to the front desk).

"*" indicates required fields

Name of Organization*

Tax ID#*

Donation Requested*

Date Needed*

Contact Person*

First Last

Contact's Email Address*

Contact's Phone Number*

How will this donation be utilized?*

Please explain how you feel that your organization's values align with those of The Local Grocer's.*

Are you a customer of The Local Grocer?*

Yes

How often do you support The Local Grocer or other locally owned business?*

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Name

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Donation Request

Hungry for More?

The Local Grocer
OrGanic, Local, AlwaYs All Natural

Donation Request

Hungry for More?

The Local GrocerOrGanic, Local, AlwaYs All Natural

The Local Grocer
OrGanic, Local, AlwaYs All Natural