Donation Request Form

Request For Donations

At Silver Squirrel Engraving & Gifts we are dedicated to local community organizations. Each year our company allocates a budget to support community activities through contributions. It’s our goal to fulfill as many requests as possible. However, due to the amount of inquiries, we are unable to fulfill all requests and ask that you complete this form so that we can make informed and fair decisions about our contributions.

 Please note the following donation policies of Silver Squirrel Engraving & Gifts:

  • Anyone seeking a donation must complete the donation request form.
  • Requests must be made at least 21 days prior to the event.
  • You must be a U.S. based IRS 501(c)(3) qualified charitable organization.
  • Only one donation per calendar year per organization will be approved.
  • Allow 7-10 business days for request approval. If approved, you will receive a confirmation via email.
  • Understand that completion of this request does not guarantee a donation.

Silver Squirrel Engraving & Gifts respectfully declines to support the following:

  • Requests intended for personal or corporate profit.
  • Personal events such as weddings, birthdays, etc.
  • Political candidate or organization
  • Organizations outside the state of Wisconsin
  • Labor or fraternal organizations
  • We do not consider organizations that discriminate by race, creed, gender, ethnicity, sexual orientation, disability, age, or other legal basis prohibited by law.
  • We will not consider phone or verbal solicitations.

 

All requests MUST be dropped off in person at Silver Squirrel Engraving & Gifts, 150 W. Wisconsin Ave, Kaukauna, WI 54130. Or emailed to myorders@ssengraving.com.

 

Tell Us About Your Organization

Legal Name: ________________________________________________________________

 

Type of Organization: ___________________________________________________________

Address: ________________________________________________________________

 

IRS 501(c)(3) Nonprofit?      Yes      No       (circle one) #________________________________

 

Organization’s Mission Statement/Purpose: ____________________________________________________________________________________________________________________________________________________________________________________________________________________________

Number of Years Established:_________________ Volunteers: _________________________

Has this organization received a donation from us in the past?  Yes   No  (circle one)

Is this organization a customer of our company?   Yes    No   (circle one)

 

About This Request

Contact Person: ________________________________________

Title: _________________________________________________

Email: ________________________________________________

Event Name: __________________________________________________

Event Date: ________________________________ Estimated Number of Atendees: _________

Do you have a specific donation request? ________________________________________________________________

 

Please summarize your project/event and how a donation will be utilized: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

 

Please specify how you will mention Silver Squirrel Engraving & Gifts in your events program, signage or advertising: __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Additional Requested Information

 Please include the following information concerning your company on separate paper.

  1. Description for this specific request that includes goals and objectives to be reached utilizing funds received or earned based on product donation.
  2. Summary of your organization’s history, goals, and key achievements.
  3. IRS letter confirming 501(c)(3) tax-exempt status.

 

**Please note if a donation is granted Silver Squirrel Engraving & Gifts is authorized to use your organization’s name as a donation recipient in any of our marketing or advertising.**

 

ALL DONATIONS MUST BE PICKED UP AT Silver Squirrel Engraving & Gifts