St. Clair Shores
(800)272-5270
(586)773-1500
Detroit
(313)527-7550

Conner Park Florist Inc.

Request for Donations or Advertisements

   

This form has not been designed to deter your request.  Its purpose is to fairly divide the limited amount of money allocated for such purposes.  As you probably realize, such requests are numerous and granting all would be far beyond our financial capabilities.  Thank you for your cooperation. 

   
   
Your Name:   
   
Phone Number:
   
Today's Date:
   
Are you a customer of the shop? Yes    No
   
Do you have an open account with us?

Yes    No

   
Name of company/organization:
   
Is this organization a
customer of our shop?
Yes    No
   
Has this organization had a
previous donation or ad from
us this year?
Yes    No
   
Has this organization had a
previous donation or ad from
us in other years?
Yes    No
   
Is this a profit making organization? Yes    No
   
If No, for what purpose
is its money used?
   
Is there advertising in
return for donations?
Yes    No
   
If Yes, state method
and/or media:
   
Please state purpose for
which donation will be used:
   
Date of occasion:
   
Date donation required: 
   
If ad, Cost:
   
Publication:
   
Deadline:
   
Press Date:
   
Are other florists being contacted
for donations / advertising? 
Yes    No
   
If Yes, please specify:
If No, what prompted this request? 
   
 
   

Please fill out the entire form and then press the submit button.