Organization Name Charitable non-profit 501(c)3 or appropriate tax designation number Click here to email a copy of your certificate Contact Name Contact Title Phone Number Email Address Street Address City State - Select Province/State - Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon ==================== Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Please select one category that best describes the primary service that your organization provides. Hunger Relief Education Health & Wellness Social Services What store do you shop most frequently? Select Select What type of contribution are you seeking from us? (Please give specifics) Party Platter(s)/Catering Trays Product Donation Gift Card(s) Other (Please clearly define) Name of Event Date of Event Event Description (Please give specifics e.g., Preferred Product(s), Quantity, Date Needed By) How are you promoting your event? How many people are expected to attend? Who will attend your event? How will you recognize donors?