Store Community Giving Request Form Survey

Store Community Giving Request

Please review the Longo’s Focus Areas and Charitable Giving Programs information before filling out this form. Requests should be submitted at least 6 weeks in advance of when the support is required. Support for local community requests consists of Longo’s gift cards that can be used for prizing or towards purchasing gift baskets or food. For requests that impact multiple Longo’s store communities, or for corporate donations/sponsorships, fill out the Sponsorship and Corporate Giving Request form here.

NOTE: All application requests for support are subject to approval based on how well the request aligns with Longo’s focus areas and giving criteria, budgets and other considerations. You will receive an e-mail notification once your request has been received. Your request will be evaluated, and you will receive an e-mail response within 10 - 15 business days.

1.Tell us a bit about you(Required.)

Name

Phone number

2.Your Email(Required.)

3.Tell us a bit about the organization(Required.)

Organization name

Address

City/town

Postal Code

Province

Phone number

4.Which areas does your organization support?(Required.)

Disease Prevention

Food Aid

Child and Youth Development

Local Community

If your organization is associated with another area, please specify (Maximum 100 characters)

5.Please describe the goals and purpose of the charity, organization, sponsorship and/or event. (Maximum 500 characters)(Required.)

6.Has this organization requested support from Longo's in the past 12 months?(Required.)

Yes

7.Tell us a bit about the event your're requesting support for(Required.)

Event Name

Event Address

8.Event Date (MM/DD/YYYY)(Required.)

9.Please describe your event and provide additional details, such as the purpose of the event and the number of expected attendees, etc. (Maximum 500 characters)(Required.)

10.What support specifically are you requesting Longo’s to provide? (Maximum 200 characters)(Required.)

11.Will Longo's support be recognized?(Required.)

Yes

If yes, please specify how (Maximum 100 Characters)

12.Will you require a Longo's logo(Required.)

Yes

If yes, please specify what size and format are required: (Maximum 100 characters)

13.Let us know the Longo’s store location that is closest to where your event takes place. (Your request will be directed to this store for approval. Only one location can be selected.)(Required.)