Donation Request Organization Name * Organization Description Does the organization have 501(c)(3) satus? * Yes No Number of members in the organization. Have we contributed to the organization before? Yes No Unsure Contact Name * First Name Last Name Contact Email * Contact Phone * (###) ### #### Restaurant location you are contacting. * #7289 West 71st Street #11652 Georgetown Road #34689 Anson #36748 Michigan/Kessler #993 West 16th Street #5173 West Morris Street Donation / Sponsorship Request * Details of the donation request. * Describe the community impact within a 3-mile radius of our restaurant. * Other funding sources. Date Needed * MM DD YYYY Thank you!
