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Donation Request Form
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
*
1-25
25-50
50-75
75-100
100-150
150-200
200-250
250-300
300+
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?
*
Yes
No
Are you familiar with Colonial Cafe's Cares Night Fundraising Program?
*
Yes
No
Has your organization participated in Colonial Cafe's Cares Night Fundraising Program?
*
Yes
No
Would your organization like to receive more information about hosting a Colonial Cafe's Cares Night Fundraising Program?
*
Yes
No
Deadline for Answer to request:
*
MM slash DD slash YYYY
Any Additional Comments:
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