Chick-fil-a Donation Request Form

Chick-fil-a Donation Request Form

Thank you for thinking of Chick-fil-A Gardena & Chick-fil-A 190th & Western! We are grateful for the opportunity to support our local community. Please complete the form below to request a donation. Submission of this form does not guarantee a donation. All donation requests must be submitted at least 30 days (one month) prior to the event date. Please allow 3–5 business days for our team to review your request and respond. All requests are reviewed based on availability, alignment with our community initiatives, and timing.
Chick-fil-A Location Selection
Which of our locations is closest to you?
Contact Information
Contact Name

First NameLast Name
Contact Email
example@example.com
Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Title/ Role
Organization Information
Organization Name
Organization Type

Other
Organization Mission: Please tell us about your organization, its purpose, and who it serves.
Donation Request
Type of Donation Requested: (Select one)

Other
Does your organization or event have an allocated budget?
If yes, please share the approximate budget range:
If requesting food, please specify pick-up/ delivery, menu items, quantities, date, and time (e.g., number of sandwiches, trays, etc.):
If requesting gift cards or certificates, please specify quantity:
If requesting a Cow Appearance, please describe the event, timing, and expected attendance:
Has your organization received a donation from us in the past?
Partnering with our community is a win-win! Mark how you organization can provide back to us.
Thank you for allowing us to serve our community! We will reach out to you shortly!
Should be Empty:

Chick-fil-a Donation Request Form

Chick-fil-A Location Selection

Contact Information

Organization Information

Donation Request

Thank you for allowing us to serve our community! We will reach out to you shortly!