Colonial Cafe

Contact Person's Name*
First Last
Name of Organization*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Phone*
Email*
Fax
Website
Please briefly describe your event and organization
Has your organization received a donation in the past from Colonial Cafe & Ice Cream? If yes, when & what did you receive?*
What form of donation would you like from Colonial Cafe & Ice Cream?*
Date of the Event*
MM slash DD slash YYYY
# of people expected to attend event*
What PR recognition will Colonial Cafe & Ice Cream receive for donating to your organization?*
How would a donation from Colonial Cafe & Ice Cream be used and benefit your organization or beneficiaries?*
Are you or members of your organization guests of Colonial Cafe & Ice Cream?*
Are you familiar with Colonial Cafe's Cares Night Fundraising Program?*
Has your organization participated in Colonial Cafe's Cares Night Fundraising Program?*
Would your organization like to receive more information about hosting a Colonial Cafe's Cares Night Fundraising Program?*
Deadline for Answer to request:*
MM slash DD slash YYYY
Any Additional Comments:
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