Donation Request

Each line on this application must be completed to be considered. (Referencing an attachment is not acceptable.)
Due to the significant volume of requests we receive, we cannot respond to each one.
Contact for approved requests will be made by email or phone in advance of the event date. DO NOT CALL THE STORES TO FOLLOW UP. They do not have the information to respond.
Questions about approved requests may be directed to megacoop.donations@megacoop.com or by calling 715-839-5258.

Organizations, groups, or events not located in communities surrounding Mega! CO-OP locations and those outside of Wisconsin
Political organizations or groups that engage in political activity
Pageants or contestants
Organizations requesting items to support operating or day-to-day expenses.
Organizations that may discriminate for any reason on the basis of race, color, religion, creed, age, gender, national origin, or sexual orientation.
Requests to benefit personal interests. Mega CO-OP currently supports several non-profit organizations that provide assistance to individuals in a variety of circumstances.

Items Marked with a * are required.

Your Organization*

Contact First Name*

Contact Last Name*

Contact Title/Role*

Email*

Best Phone To Reach You*

Street Address*

City*

State*

Zip*

Your 501c3 number *

Is contact a Mega Member? (yes/no)YesNo

Mega Team Member? (yes/no)YesNo

Name of event?*

Event Date*

mm/dd/yyyy

Event Location*

Items Requested*
Gift CardDonation

Describe the nature of your organization and your request:*:

How will this donation be used?*:

Who will benefit from this donation?*:

How does your organization/program/event relate to services provided by other
organizations in the community?*:

Who else have you applied to for similar donations for this event?*