Donation Request

LeBerge & Curtis, Inc is committed to our employees, our customers, and our community.  LeBerge & Curtis, Inc strives to play a positive role in our surrounding communities. When possible, we make donations of gifts or money to various non-profit organizations that support local agriculture, education and local charities that work to improve our community. To be eligible you must have a current exempt status under Section 501(c)(3) of the internal revenue code or be a public school. If your non-profit organization is interested in such a donation, please fill out the form below.


THIS FORM MUST BE FILLED OUT IN ITS ENTIRETY AT LEAST 4 WEEKS PRIOR TO YOUR EVENT OR YOUR EVENT DEADLINE TO BE CONSIDERED.

If you have a document containing the required information you may send to rental@lebergeandcurtis.com as an alternative option.

Due to the number of requests we receive, only those organizations which are selected for donations will be notified.


Please fill in all required fields.

Donation Request Form

Todays Date
TAX ID
Name of Organization
Address
City
State
Zip Code
Phone Number
Email
Website
Please provide a brief statement about the purpose of your organization
Contact Person
Donation Requested
Purpose of Donation
Date of your event
What type of recognition will LeBerge & Curtis, Inc receive for this donation?
Have you applied for a donation request with LeBerge & Curtis, Inc before?
How will this donation or funds raised from your event benefit our community?