Donation Request | Maui Soda and Ice Works

Organization Information

Name:

Mailing address:

Physical address:

Phone number:

Contact name:

Contact phone number:

Contact email address:

Organization website:

Enter organization Federal Tax ID (EIN)

Organization Cause

What type of donation are you requesting? Select all that apply.

MonetaryBeverage ProductFrozen Product

Other (please list):

If requesting a beverage or frozen product donation, how many servings are you requesting? If not requesting product, please enter “N/A”.

Event Information

Date and Time of event

Address of event

Estimated number of attendees

What are the marketing opportunities to Maui Soda & Ice Works if this request is approved?

What is the goal of the event? If the event is a fundraiser, please include your fundraising goal?

Has the organization received a donation from us in the past?

YesNo

Is the organization or requestor a customer of our company?

Option to include additional info/comments

Option to upload additional documents