Donation Request

We would love to hear from you! Please fill out this form and we will get in touch with you shortly.

Organization's Name(*)

Invalid Input

Organization's Address(*)

Invalid Input

State(*)

Invalid Input

County(*)

Invalid Input

Organization's Website

Invalid Input

Is Your Organization a 501C3?(*)

YesNo Invalid Input

Briefly Describe the Organization(*)

Invalid Input

What are You Requesting?(*)

Invalid Input

What will the Donation be Used For?(*)

Invalid Input

What Communities or Counties will the Donation Help?(*)

Invalid Input

Does the Organization have an Endowment Fund?(*)

YesNo Invalid Input

Has the Organization Requested Donation(s) from G&M Before?(*)

YesNo Invalid Input

When Do you Need the Donation?(*)

Invalid Input

Please note: due to increased requests G&M requires at least 45 days notice for all requests.

Your Contact Information

Name(*)

Invalid Input

Phone(*)

Invalid Input

Email(*)

Invalid Input

Invalid reCAPTCHA response