Donation Request Form

What is the name of your organization, event or fundraiser?*

Will this donation benefit a nonprofit organization or cause?*

We are only able to offer donations to nonprofit-related causes.

Yes
No

Is your organization, event or fundraiser located within one of the Twin Cities South Metro suburbs listed below?

Check all that apply. We are only able to support events, fundraisers or organizations that directly benefit individuals within the Twin Cities South Metro suburbs because we want to make sure that all of our donations directly support the neighborhoods and communities our store serves. If your organization has a statewide presence in Minnesota, or if you are a third-party solicitor, we are unable to support your request.

Apple Valley
Burnsville
Eagan
Farmington
Prior Lake
Rosemount
Shakopee
Savage

Describe how your organization, event or fundraiser supports education, families, building community, health or sustainability.*

Your organization, event or fundraiser must support one of the areas representative of our mission and values.

What type of donation are you requesting?*

What is the approximate dollar value of your requested donation?

Please indicate if there are varying sponsorship levels available. Please send supplementary sponsorship information, if applicable, to [email protected]

How will this donation be used?*

If this is for an event or fundraiser, what is the date?

If a date is not applicable, you may skip this field. Your event must occur a minimum of 4 weeks in advance of today’s date to allow time for review and approval.

Contact Information

First Name*

Last Name*

Valley Natural Foods Member-Owner # (if applicable)

Member-Owner #

Valley Natural Foods Member-Owner # (if applicable)

Phone*

Email*

Phone

This field is for validation purposes and should be left unchanged.

Donation Request Form

Contact Information

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