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  • Donation Request Form

At DeGroot’s, we contribute to a large number of worthwhile and charitable causes. We do so gladly, because we’d like to play an active and positive role in our community.

However, we receive hundreds of requests like yours for consideration. In order for us to properly evaluate all requests, and for our records, we ask you to fill this short questionnaire. We will notify you as soon as possible if a donation requests is approved, usually with in a week.

You can submit your application online below, or download the donation request form and fax it to us. 


Step 1 of 3 - Applicant Information

*Organization Name
Charitable ID #
*Organization Address 1
Organization Address 2
*Organization City
*Organization Postal Code
*Contact Name
*Contact Phone No.
*Contact E-mail

*Required Field

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