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Donation Request Form

Our philanthropic giving is through the charity of UMass Medical School’s Children’s Medical Center. Because we are a small, family business, all of our efforts are focused so we can help make a difference with this charity’s goal to help local children cope through his or her health care experiences.

Donation Request Process & Policies

Donation requests are reviewed on a quarterly basis and must be submitted at least 8 – 10 weeks prior to the event to be considered. If your request is approved, you will receive an official confirmation by email within 2-4 weeks. Due to the high volume of requests received, we are unable to confirm the status of requests or receipt of requests by telephone. Although we are honored to receive many charitable requests, we are not able to support them all.


Organization Name *

Tax Exempt/501(c)(3) (PDF - 1mb max) *

Contact Name & Title *

Address of Organization *

Shipping Address *

Phone Number *

Email Address *

Donation Request *
Product DonationCustomizationEvent OpportunityPersonal AppearanceOther

Event Name *

Requested Date of Event *

Estimated Number of Attendees *

Address of Event Venue *

What are the marketing opportunities to Vaillancourt Folk Art if this request is approved? *

Tell us about you, the requestor *

When was your last visit to our gallery? *

Additional Information *

Additional Documentation (PDF - 2mb max) *