Wildflower Donation & Scrip Request Form

We are committed to giving back, and we love supporting causes that strengthen our community. To be considered for a donation, your organization must be a non-profit that focuses on poverty and hunger relief, children’s wellness, women’s empowerment, literacy & education and animal advocacy.

If you are fundraising for a school or nonprofit organization, consider hosting a Neighborhood Nights Fundraiser at your local Wildflower!

Organization Name*

Contact Name*

Contact Phone*

Contact Email Address*

Tax Identification Number

Have we donated to your organization before? If yes, please explain*

What kind of donation are you requesting? Please check appropriate box.

Requested Amount—$100 max

How will this donation be used?

$300 minimum

Additional Notes/Information

Please Note:
Donation Request Form completion does not confirm your donation. If approved, we will be in touch within three business days with additional details. Only one donation per organization will be approved each year.

Scrip Request: There is a $300 minimum order on all SCRIP orders. Orders may take up to one week to process. We will contact you within three business days with payment and processing information. You may choose to have scrip mailed to your address or pick-up at: 8130 E. Cactus Road, Suite 500. Scottsdale, AZ 85260

Donations

Wildflower Donation & Scrip Request Form