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
![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](https://image.slidesharecdn.com/storedonationapplication-100426124658-phpapp01/85/store-donationapplication-1-320.jpg)
