Donation Request Application

Please note, all fields are required for your submission.

Contact Information

Organization Name:*

Tax ID #:*

Contact Name:*

Contact Phone Number:*

Phone Number Type*

Select

Mailing Address:*

City:*

State:*

ZIP Code:*

Email Address:*

Event Name:*

Event Date:*

How will the donation be used?*

(Silent Auction, Live Auction, Raffle prize, etc.)

Your event proceeds will support:*

Event Description:*

(500 characters max. Do not copy and paste information)

Deadline to receive donation:*

Donation Recognition*

We agree to recognize the donation as being from the Zoological Society of Milwaukee:

Select or enter value

File Upload

If your organization has a donation form or request letter for the event please upload it here.

Drag and drop files here or

Send me a copy of my responses

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