Donations - Medford Cooperative

Medford Cooperative Donation Policy and Request Form

The Medford Cooperative mission states that we will serve your community cooperatively and professionally. With that, a large part of the cooperative spirit is supporting the communities that support us. We believe it is important to share our success with our customers as well as the communities we serve. To do so, we provide donations to non-profit organizations that align with our funding priorities:

Education and Youth Development
Community Growth and Development
Community Well-being and Safety
Agriculture-focused Organizations

All requests for charitable contributions are coordinated and administered by an employee based committee that reviews each application. This group of employees meet once per month. Therefore, it is kindly requested that donation requests are submitted 45 days prior to a charitable event taking place to allow the employee committee enough time to review your application.

NOTE: Individual stores/business units within Medford Cooperative don’t provide separate charitable donations.

Donate Request Form

Current Date

Organization Information

Organization Requesting the Donation (Legal Name)

Organization’s Address(Required)

Organization’s Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Is your organization 501(c)3 Tax Exempt:(Required)

Yes

No

Please attach your IRS Determination Letter or provide your tax exempt number:

Accepted file types: jpg, png, webp, pdf, Max. file size: 20 MB.

Please provide a Medford Cooperative Patronage Rewards card number,or phone number associated with a card number, for your organization or a prominent leader of your organization:

Representation Information

Name of Organization’s Representative(Required)

Representative Address

Representative Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Representative email address(Required)

Request Information

Name of Event

Date of Event(Required)

Brief Description of the project or event (purpose/goal)(Required)

Project Description Attachments

Drop files here or

Max. file size: 50 MB.

Type of Donation being requested (check all that apply)(Required)

Cash

Gift Card

Other (Explain Below)

Other Donation Type Explanation

If cash or gift card, amount requesting?

How will sponsors be recognized?

Date request is needed