Donation Request Form for Copper Fiddle Distillery
In our mission to support the community and conserve paper, we only accept requests via this form.
Submission Guidelines:
* Organizations are limited to one request per year
* Organizations must be based in Illinois
* Requests must be submitted with Tax ID number
* Requests will only be considered if sent at least four weeks in advance.
* Requests must be submitted through our online system. Requests submitted any other way (phone, walk-ins, etc. will not be considered)

Donations are fulfilled at the discretion of Copper Fiddle Distillery and are based on item inventory.

Organization Name *
Your answer
Mailing Address
123 Mail Street
Your answer
City
Your answer
Zip
Your answer
Organization Website
Your answer
Organization Tax ID#
Your answer
Contact Name *
First Last
Your answer
Contact Email *
Your answer
Contact Telephone *
888-888-8888
Your answer
Relationship to Organization
(President, Donations Chair, etc. )
Your answer
Organizations Event Name
Golf Outing, Walk to Cure, etc.
Your answer
Description (200 words or less)
Date, Time, Location, Number of Guests, Event Underwriter
Your answer
Item will be used for
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