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STORE                                   APPLICATION FOR
              D O N AT I O N
              FUND                                    STORE DONATION
Best Buy is committed to supporting our communities. We focus our charitable contributions on organizations that serve youth. We support
programs that offer youth leadership and educational opportunities to develop the skills necessary for them to become successful adults.

Contribution decisions are made at the store. Meeting dates vary and are subject to change. Please allow six weeks for a response.
Your organization will be notified of results either by postcard or by telephone. We respectfully request that you do not call the store
regarding the status of your request.

Please provide all requested information, including attachments. Only complete applications will be considered.

The following documents MUST be attached to all applications:
   IRS 501(c)(3) nonprofit determination letter for applicant organization
   A cover letter on the stationery of the nonprofit organization

Organization name [as stated on 501(c)(3)]: ________________________________________________________ Date __________________

Address: ____________________________________ City ___________________________ State ______________ ZIP ___________________

Contact person:______________________________ Title:___________________________ Email:____________________________________

Phone:______________________________________ Fax: ___________________________

Tax ID number: ______________________________ Donation request: _______________

Description of nonprofit organization (two-sentence summary of mission/objectives): _____________________________________________

_______________________________________________________________________________________________________________________

_______________________________________________________________________________________________________________________

If your organization is designed primarily for one of the following causes we are unable to support your request. Also, due to limited
funds, we are unable to grant all requests. We wish you success in your endeavors.

• Lobbying organizations                                                                • Individuals, families or private foundations
• Religious, fraternal, labor or veterans groups                                        • Private foundations
• Political groups                                                                      • For-profit (including fundraisers on behalf of nonprofits)

Project/program/event name:_____________________________________________________________________________________________

Brief program description: ________________________________________________________________________________________________

_______________________________________________________________________________________________________________________

How does your program or service impact youth? ___________________________________________________________________________
_______________________________________________________________________________________________________________________

For Office Use Only

Store number: ___________________ Date approved: _____________________ If not approved, date notification sent: ________________

Specific donation given (please circle):             Gift card          Merchandise

Number of gift cards:_____________ Amount per gift card: $ ______________________ Total amount of gift card donation $ _________

Registered G.C. #: _______________________________

Merchandise description __________________________ Model # ___________________ SKU _______________ Value: ________________

Merchandise description __________________________ Model # ___________________ SKU _______________ Value: ________________

Required Signatures (To be completed when the donation is picked up)

Date donation was made: _________________________

        __________________________________________________                              __________________________________________________
            Name of Organization Representative and Title (Please Print)                            Signature of Organization Representative

        __________________________________________________                              __________________________________________________
                  Name of Store General Manager (Please Print)                                         Signature of Store General Manager

REV. 6/02                                       white copy - store   yellow copy - inventory/corporate communications                          PART # OS-213117

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Store donationapplication

  • 1. STORE APPLICATION FOR D O N AT I O N FUND STORE DONATION Best Buy is committed to supporting our communities. We focus our charitable contributions on organizations that serve youth. We support programs that offer youth leadership and educational opportunities to develop the skills necessary for them to become successful adults. Contribution decisions are made at the store. Meeting dates vary and are subject to change. Please allow six weeks for a response. Your organization will be notified of results either by postcard or by telephone. We respectfully request that you do not call the store regarding the status of your request. Please provide all requested information, including attachments. Only complete applications will be considered. The following documents MUST be attached to all applications: IRS 501(c)(3) nonprofit determination letter for applicant organization A cover letter on the stationery of the nonprofit organization Organization name [as stated on 501(c)(3)]: ________________________________________________________ Date __________________ Address: ____________________________________ City ___________________________ State ______________ ZIP ___________________ Contact person:______________________________ Title:___________________________ Email:____________________________________ Phone:______________________________________ Fax: ___________________________ Tax ID number: ______________________________ Donation request: _______________ Description of nonprofit organization (two-sentence summary of mission/objectives): _____________________________________________ _______________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________ If your organization is designed primarily for one of the following causes we are unable to support your request. Also, due to limited funds, we are unable to grant all requests. We wish you success in your endeavors. • Lobbying organizations • Individuals, families or private foundations • Religious, fraternal, labor or veterans groups • Private foundations • Political groups • For-profit (including fundraisers on behalf of nonprofits) Project/program/event name:_____________________________________________________________________________________________ Brief program description: ________________________________________________________________________________________________ _______________________________________________________________________________________________________________________ How does your program or service impact youth? ___________________________________________________________________________ _______________________________________________________________________________________________________________________ For Office Use Only Store number: ___________________ Date approved: _____________________ If not approved, date notification sent: ________________ Specific donation given (please circle): Gift card Merchandise Number of gift cards:_____________ Amount per gift card: $ ______________________ Total amount of gift card donation $ _________ Registered G.C. #: _______________________________ Merchandise description __________________________ Model # ___________________ SKU _______________ Value: ________________ Merchandise description __________________________ Model # ___________________ SKU _______________ Value: ________________ Required Signatures (To be completed when the donation is picked up) Date donation was made: _________________________ __________________________________________________ __________________________________________________ Name of Organization Representative and Title (Please Print) Signature of Organization Representative __________________________________________________ __________________________________________________ Name of Store General Manager (Please Print) Signature of Store General Manager REV. 6/02 white copy - store yellow copy - inventory/corporate communications PART # OS-213117