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Donation Request Form

Antelope Valley Mall is dedicated to supporting our community.
Please fill in the fields below to be considered.

Name of Organization:*
Tax ID Number:*
Date of Event:*
Event Title:*
Contact Name:*
Contact Email:*
Contact Phone:*
Mailing Address:*
City:*
State:*
Zip Code:*
Comments:
Please attach 501(c)(3) certificate. (If applicable)
 

* Indicates required field.

Be assured that we do receive all requests and if your organization is chosen, you will be notified. Please note that due to the volume of donation requests, we apologize that we are unable to fulfill all requests. Best wishes for a successful event.

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