Donation Requests

Factory Obscura is a B-Corporation, with a mission to support arts education in our community. If you would like to make a request for a donation to support the work of your organization, please fill out the form below. We’ll be in touch soon!

*Please note, we do not support religious organizations or those affiliated with any religion.

Date of Request

MM

DD

YYYY

Organization Name

Contact Name

First Name

Last Name

Email

Phone

(###)

###

####

Date of Event

When do you need the donation?

MM

DD

YYYY

What is your mission?

(Please keep responses brief)

What kind of donation are you looking for and how will it be used?

Is your organization a 501c3 nonprofit?

Nonprofit status is not required to receive a donation. If you are a nonprofit, we will need a W9 for our records.

Yes

No