Charitable Giving Application

Tax Exempt 501(C)3 Yes, my organization is tax exempt
No, my organization is not tax exempt

Tax Exempt #

Contact Person

Daytime Phone

CATERING

Product Requesting

OTHER MERCHANDISE

MERCHANDISE REQUESTING - PLEASE SPECIFY SIZE, FLAVOR, QUANTITY, COLOR

MONETARY DOLLAR AMOUNT REQUESTED

Date Of Event

How will the donations be utilized

WHEN PICKING UP OUR CHARITABLE CONTRIBUTION, WE WOULD LIKE TO PICK-UP AT

ADVERTISING/SPONSOR DEADLINE (THIS DATE MUST BE MINIMUM 30 BUSINESS DAYS PRIOR TO EVENT DATE)

EMAIL AD/LOGO TO

MAKE CHECK PAYABLE TO (IF NOT APPLICABLE PLEASE TYPE N/A)

MAIL CONTRIBUTION TO

NAME

ADDRESS

CITY/STATE/ZIP

PICKUP DATE

PICKUP TIME