Are you a qualified non-profit:
Contact phone # (indicate office, cell or home):
Date needed by:
description (attach info as applicable):
Other (how the donation will be used):
Please attach a copy of the flyer (or other materials) for the event or request (if applicable).
Email this completed form (with attachments) to email@example.com or
submit to our office at 3581 S. Highlands Ave., Sebring, FL 33870.
Call 863-385-5129 if you have questions and ask for the Foundation office.