Request Donation

George's Lounge supports the local community and regularly provides donations to local nonprofit organizations. If you would like George's Lounge to consider a donation to your organization, please complete the form below at least 30 days in advance. We receive many request each year so unfortunately we cannot fulfill al requests.

Donation Request Form

Please tell us about your organization and how we can help. All items must be completed for consideration of a donation to your organization.

* Indicates required field

Organization/Charity *

Organization Address *

Line 1

Line 2

City

State

Zip Code

Country

Organization Phone Number *

Organization website/facebook page *

Contact Name *

First

Last

Contact Title/Position *

Contact Email *

Contact Phone Number *

How long has the organization operated? *

Is the organization registered as a 501c3? *

What is the mission/purpose of the organization? *

What area/region does your organization serve? *

What kind of donation/fundraising would you like? *

What's the dollar amount/value for the donation you are requesting? *

Describe in detail how you would like George's to help your organization. If there is a specific event involved, please provide detailed information on location, time, purpose, expected attendance, etc. *

Why did you choose George's to help your organization? *

How will our donation help benefit the community? *

By what date do you need the donation (please allow at least 30 days)? *

Additional details *

Submit Request