Donation Request Form

Requests are subject to available donation inventory and cannot be guaranteed.
Requests must be submitted at a minimum of two weeks prior to your event to allow adequate time for processing.
If you have received a donation in the past 90 days, your request will be placed lower in the priority consideration.
Items requiring deposits must be returned in 30 days to receive a refund.

Name of Soliciting Agency

Solicitor's Name

Relationship to Agency
(director, employee, volunteer, etc.)

Street Address

City

State

Zip

Non-Profit Incorporation State

Federal Tax ID#

Telephone

E-mail Address

What is the service nature of the Agency?

What percentage of gifts (sales) do you receive?

Does the Agency presently do business with Coca-Cola High Country?

If so, how?

Date of the Event

Event Facility Name (Location of Event)

Event Street Address

City

State

Zip

What type of donation are you requesting from Coca-Cola?

Details

Approximate number of people to be served

Number of cases requested

What will the donation be used for?

Will the donation be sold or given away?

Will Coca-Cola be acknowledged as a contributor?

If so, how?

Additional Comments

Completed by

Date Submitted

Attach additional information about the event/request
(PDF, DOC, DOCX)

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