Kernersville Burlington Greensboro Day Spa Request Form

Greensboro Day Spa
2138 Lawndale Drive
Greensboro, NC 27408
336-574-2556

Kernersville Day Spa
960-C South Main St.
Kernersville, NC 27284
336-993-0303

Burlington Day Spa
2257 South Church St.
Burlington, NC 27215
336-482-3200

Balance Day Spa believes in supporting non-profit organizations and community events. We make every effort to meet all donation requests. After reviewing the donation request, Balance Day Spa will be in contact with you regarding the status of the donation.

IMPORTANT - For consideration, you must submit your request at least one week prior to the event. As a courtesy, please allow time for us to contact you with the status of your request.

ORGANIZATION INFORMATION
Organization Name*
Organization Phone #*
Organization Tax ID #*
Organization Address*

CONTACT INFORMATION
Contact Name*
Contact Phone Number*
Contact E-mail Address

EVENT INFORMATION
Event Name*
Event Date*
Event Address*
Type of Event*	Silent Auction Door Prize Goodie Bag
Number of people expected to attend*
Event Description*

ADDITIONAL INFORMATION
Date the Donation Is Needed By*
Form of Delivery*	Pick-up Mail
Mailing Address (if being mailed)