Vici :: Donation Request

PROVIDE AND CONQUER!

At VICI, we not only want to make you look good, we want to make you feel good. After all, beauty comes in all shapes and sizes—in our schools, neighborhoods, and communities—in the people who do good things every day.

If you have a donation request, please fill out the form, below. We look forward to hearing from you!

Event Date: *
Charity Name: *
Address:
Address (continued):
City:
State:
Zip:
Contact Name:
Contact Phone Number: *
Contact Fax Number:
Contact Email: *
Current Client:	yes no
Please describe the purpose of the donation:
What programs and/or services does your organization provide:
Value of charity request ($):
Approximate number of attendees:
Has VICI provided a donation for your organization in the past:	yes no
What email address should we send our logo to for promotional material:
Product pickup date & time: