Fundraiser Request

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Offering 11 Local Neighborhood Locations

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If you are interested in partnering with Wilhelm for a fundraiser, please fill out the following form:

Organization Name*
Select the Type of Request from the Dropdown*
Organization Website
Organization Mission - Provide some details on how your organization helps the community and what you hope to accomplish*
Does your organization qualify as a 501c3 tax exempt non-profit?*
- Yes
- No
Today's Date*
Date Format: MM slash DD slash YYYY
Date of Event (if applicable)
Date Format: MM slash DD slash YYYY
Deadline for Receiving Contribution/Donation
Date Format: MM slash DD slash YYYY
Describe the Type of Contribution/Donation Requested
Please Upload Any Relevant Documents or Files
Drop files here or
Your Name*
First Last
Your Email*
Your Phone*
How Were You Referred to Wilhelm? (if applicable)
By checking this box, you confirm that you have the authority to act on the listed organization's behalf.*
I Confirm

Payment Methods

Convenient Credit.
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