Donation Request

DONATION REQUEST

To be considered for a charitable donation, please complete the form below.

Please note, this does not guarantee you a donation. We will reach out to you if we are able to accommodate your request.

Name Of Organization

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Contact Person

Name

First NameLast Name

Phone Number

Area CodePhone Number

Email

example@example.com

Is your organization a non-profit or public tax-exempt organization as defined under Section 501(c)(3) of the Internal Revenue Code?

YesNo

Non-Profit EIN:

Organization Purpose*

Event Purpose*

How will Black Apple be marketed?*

Description of event:

Where and when will the event take place?

Expected # of attendance

Type of Donation Request

KegCansGift CardMerchandise

If Keg donation, will you need tap/taps?

YesNo

When do you need to receive the donation?

MonthDayYear

Preferred Pick Up Time

:HourMinutesAM/PM Option

Why Black Apple?

Additional Event/Organization Details

Event/Organization Uploads

Browse Files