Request for a discount/donation form


Name of organization:  


Organization web site:

Organization phone number:                                                                          Fax:

Contact person:                                                                                      Phone:  

Contact person e-mail:  

Are you a Bra-La-La customer?

Is the organization tax exempt under IRS Code Section 501© 3?  

Non-profit Taxpayer’s I.D. number:

What is the mission statement of the organization?

The event name:

Date:                                                Time:                                                 Est. # of attendees:


Annual event?                                                                        Year it began?

How do you intend to promote the event? The donation?

What type of donation is requested?

How will the donation from Bra-La-La be recognized?

(301) 776-6007

Bra-la-la...Finding Your Perfect Fit | 8180 Maple Lawn Blvd., Fulton, MD 20759 | 301.776.6007 |