229 Massachusetts Avenue Lexington, MA 02420
(781)861-1030
(800)736-1030

Crickets Flowers~ Request for Donation
Each year, Cricket's Flowers allocates a budget to support community activities through both contributions and our NEIGHBOR TO NEIGHBOR PROGRAM. However, requests have become so numerous that they often exceed our yearly donation budget . In order for us to evaluate donation requests, we ask that you complete this form and return it at lest 14 days before your event. Or if you wish to learn more about the NEIGHBOR TO NEIGHBOR PROGRAM, please contact us. Thank you for your cooperation.

Fax to 781-862-8640 or email it to cricketsflowers@yahoo.com.

DATE___________________________________

DATE OF EVENT _________________________________

ORGANIZATION REQUESTING DONATION_______________________________________________________

IS THIS A FOR PROFIT OR NON PROFIT ORGANIZATION?

_____ FOR PROFIT _____ NON PROFIT

ADDRESS__________________________________________________________

TELEPHONE___________________________

EMAIL ADDRESS_______________________

CONTACT PERSON_________________________________________________

PURPOSE FOR REQUEST_________________________________________________________

__________________________________________________________________

PRODUCT OR AMOUNT OF ADVERTISING

REQUESTED________________________________________________________

HAS YOUR ORGANIZATION REQUESTED PREVIOUS DONATIONS OR ADS FROM US THIS YEAR?________________________________________________

HAS YOUR ORGANIZATION REQUESTED PREVIOUS DONATIONS OR ADS FROM US LAST YEAR?_______________________________________________

IS THIS ORGANIZATION A CURRENT CUSTOMER OF CRICKETʼS FLOWERS?__________________________________________________________

IS THIS ORGANIZATION A CUSTOMER OF OTHER FLOWER SHOPS?______________________________________________________________

NAME OF PERSON MAKING THE REQUEST.______________________________

ADDRESS_____________________________________________________________

PHONE____________________________EMAIL_____________________________

ARE YOU A CUSTOMER OF OUR SHOP?__________________________________

HOW LONG HAVE YOU BEEN A CUSTOMER?_____________________________

DATE OF LAST PURCHASE______________________

IF YOU ARE NOT A CUSTOMER, WHO (OR WHAT) PROMPTED YOU TO MAKE

THIS REQUEST?________________________________________________________ 

LIST OTHER FLORIST BEING CONTACTED FOR THIS

REQUEST.______________________________________________________________

PLEASE LIST OTHER FIRMS CONTRIBUTING TO YOUR ORGANIZATIONS ACTIVITIES, FOR EXAMPLE, WHO IS CONTRIBUTING THE EVENT SITE, ENTERTAINMENT, FOOD, BEVERAGES OR OTHER ITEMS?

FIRM:_______________________________________________________________

WILL SPECIFIC MENTION BE MADE OF OUR SUPPORT? IF YES HOW_________________________________________________________________

WHO WILL PICK UP DONATION AND WHEN______________________________

IF A DONATION FOR THIS EVENT IS NOT GRANTED WOULD YOUR ORGANIZATION WISH TO PARTICIPATE IN OUR NEIGHBOR TO NEIGHBOR PROGRAM? YES_____ NO_____