Light-O-Rama Donation Request

Donation request forms are accepted from January 1 to May 1 of each year. Submissions outside of those dates will not be considered for the current season. Requests will be reviewed by our team after the application period closes and donation recipients will be chosen by the end of July. In order to qualify for a donation, you must be registered as a non-profit or charitable organization recognized under section 501(c)(3) of the Internal Revenue Code (or equivalent if you are not from the United States). Residential displays that collect money for a specific charity do not qualify unless the display itself is a registered 501(c)(3).

Light-O-Rama reserves the right to determine the donation type or total value regardless of information provided in the request form, as well as decline a donation request for any reason.

Name Name First Last
Email
Organization Name
Organization Website
Organization Shipping Address Organization Shipping Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Tell us about your organization and what you support
Phone Number Phone Number - ### - ### ####

Numbers only. Use this for phone numbers with a +1 country code (US/Canada/Caribbean).
Phone Number (International)

Numbers only (no spaces, dashes or periods). Fill this out only if you are NOT from a +1 country code.
Pictures/Video of your past display

Attach Files

Picture or Video File types only (ex: png, jpg, gif, mp4, avi, webm, etc...)
Proof of Non-Profit Status (such as a 501(3)(c) Tax Exempt Form or IRS Determination Letter)

Attach Files

See acceptable forms of non-profit status documentation: https://www.law.cornell.edu/cfr/text/34/75.51
Donation needed by (Date Below) Donation needed by (Date Below) / MM / DD YYYY
Donation Type Requested

Donation Type Requested Equipment (Controller/Other Hardware) Pixel Lights Product Store Credit Sequences Sequence Store Credit Other Other
Please list exactly which items (or credit amounts) you are requesting for donation in order of preference.
How will the specific items requested be used to start or improve your light show? What are your plans for the display?
How would being selected to receive this donation allow you to fulfil your organization’s mission and give back to your community?
Would you be willing to provide us with pictures/videos of how you used your donation in your display after the season ends?

Would you be willing to provide us with pictures/videos of how you used your donation in your display after the season ends? Yes No
Is there anything else we should know about your organization or your request?
I understand that submitting this request form does not guarantee that I will be selected to receive a donation, and that I may not receive all of the items in my request list even if I am selected to receive a donation this season.

I understand that submitting this request form does not guarantee that I will be selected to receive a donation, and that I may not receive all of the items in my request list even if I am selected to receive a donation this season. I Understand