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BEER

Donation Request Makana Local Giving

Contact First Name

Contact Last Name

Birthdate

Email

Phone

Organization Name

Is this a Registered Charity?YesNo

Organization Address

City

Zip Code

Organization Purpose

501(c)(3) Tax ID:

Name of Event

Event Date

Event Description

Number of Attendees

Event Materials (flyer, sponsorship deck, etc.)

Preferred Pick-Up Date

Please Describe Donation

Pick-Up Person Name

Pick-Up Person Phone

Comments/Message