Donations Form

Contact Email Address (Required)

Organization Legal Name: (Required)

EIN/Tax ID Number: (Required)

Primary Phone Number: (Required)

000-000-0000 or (000) 000-0000

Charity/Event Organizer Contact Name: (Required)

Website Address (Required)

Organization Type (Required)

Select an option

Mission Statement & Goals : (Required)

Provide a Brief Description of the Services Your Charity Offers: (Required)

Geographic Region/Area served by organization : (Required)

First Name (Required)

Last Name (Required)

Contact Type:

Select an option

Title or Position (Required)

Relationship to Organization (Required)

Street Address

Street Address Line 2

City

State

Zip code

Phone Number (Required)

000-000-0000 or (000) 000-0000

Email for Pickup Confirmation Details

Request Information Event/Project Start Date or Date Request is Needed:

Name of Event (Required)

Is the event:

Select an option

Please describe how Giorgio's Italian contribution will be used : (Required)

Type of Donation requested (Required)

Number of People attending: (Required)