Donation Request Form

DONATION REQUEST FORM

Loli&theBean is proud to support local charities and schools.

Due to the volume of requests, please submit all information below. READ CAREFULLY.

We cannot process donation requests until the following criteria are completed:

• Requests will only be considered if submitted at least 4 weeks in advance of event.

• Requests submitted without Tax Id number will not be considered. Some exceptions apply.

• Organizations/Schools are limited to one request per calendar year.

• All above requirements must be fulfilled or met and the form completed before the request is considered.

It is not the responsibility of Loli&theBean to complete the requirements but the responsibility of the organization.

ORGANIZATION NAME *

ORGANIZATION TYPE *

ORGANIZATION TAX ID *

PLEASE PROVIDE COPY OF TAX EXEMPTION CERTIFICATE AT TIME OF REQUEST *

NAME OF CONTACT *

CONTACT PHONE NUMBER

CONTACT EMAIL ADDRESS *

EVENT NAME *

EVENT DATE * +

TYPE OF DONATION

DATE NEEDED * +

ADDITIONAL INFORMATION OR COMMENTS