Coma Coffee Donation Request Form
Email address *
Each year, our company allocates a budget to support community activities through contributions. We love supporting and giving back to the people who support us. We get a high volume of requests for donations and unfortunately have to limit them based on budget. The purpose of this form is not to deter donations, but to determine if we are able to make a contribution at the time of request. If a donation is granted, this authorizes Coma Coffee Roasters to use the organization’s name as a donation recipient in any of Coma Coffee Roasters' advertising. Thank you for your cooperation and taking the time to make this information available. Please submit this completed request at least 30 days prior to the event date so that it can be fairly processed.
Name of Organization *
Your answer
Address *
Your answer
Email *
Your answer
Phone *
Your answer
Website *
Your answer
Name of Person Making Request *
Your answer
What is the purpose of your organization? *
Your answer
Is this a for-profit or nonprofit organization? *
Have you received previous donations from us? *
Your answer
Are you a customer of our company? *
Are other businesses being contacted with this or a similar request also? *
What kind of donation are you looking for? *
Your answer
How will you be using it? *
Your answer
Will specific mention be made of our support? *
Location of event(s) *
Your answer
Who will be attending? *
Your answer
How many will be attending? *
Your answer
Date of the Event *
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DD
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YYYY
Date Donation Required By *
MM
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DD
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YYYY
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