- 229 Massachusetts Ave, Lexington, MA 02420
Fax to 781-862-8640 or email it to cricketsflowers@yahoo.com.
DATE___________________________________
DATE OF EVENT _________________________________
ORGANIZATION REQUESTING DONATION_______________________________________________________
IS THIS A FOR PROFIT OR NON PROFIT ORGANIZATION?
_____ FOR PROFIT _____ NON PROFIT
ADDRESS__________________________________________________________
TELEPHONE___________________________
EMAIL ADDRESS_______________________
CONTACT PERSON_________________________________________________
PURPOSE FOR REQUEST_________________________________________________________
PRODUCT OR AMOUNT OF ADVERTISING
REQUESTED________________________________________________________
HAS YOUR ORGANIZATION REQUESTED PREVIOUS DONATIONS OR ADS FROM US THIS YEAR?________________________________________________
HAS YOUR ORGANIZATION REQUESTED PREVIOUS DONATIONS OR ADS FROM US LAST YEAR?_______________________________________________
IS THIS ORGANIZATION A CURRENT CUSTOMER OF CRICKETʼS FLOWERS?__________________________________________________________
IS THIS ORGANIZATION A CUSTOMER OF OTHER FLOWER SHOPS?______________________________________________________________
NAME OF PERSON MAKING THE REQUEST.______________________________
ADDRESS_____________________________________________________________
PHONE____________________________EMAIL_____________________________
ARE YOU A CUSTOMER OF OUR SHOP?__________________________________
HOW LONG HAVE YOU BEEN A CUSTOMER?_____________________________
DATE OF LAST PURCHASE______________________
IF YOU ARE NOT A CUSTOMER, WHO (OR WHAT) PROMPTED YOU TO MAKE
THIS REQUEST?________________________________________________________
LIST OTHER FLORIST BEING CONTACTED FOR THIS REQUEST.______________________________________________________________
PLEASE LIST OTHER FIRMS CONTRIBUTING TO YOUR ORGANIZATIONS ACTIVITIES, FOR EXAMPLE, WHO IS CONTRIBUTING THE EVENT SITE,
ENTERTAINMENT, FOOD, BEVERAGES OR OTHER ITEMS?
FIRM:________________________________________________________________________________
WILL SPECIFIC MENTION BE MADE OF OUR SUPPORT? IF YES HOW______________________________________________________
WHO WILL PICK UP DONATION AND WHEN______________________________
IF A DONATION FOR THIS EVENT IS NOT GRANTED WOULD YOUR ORGANIZATION WISH TO PARTICIPATE IN OUR NEIGHBOR TO NEIGHBOR PROGRAM? YES_____ NO_____
