Charitable Requests

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Event - Charity Name*
When is the Event?*
MM slash DD slash YYYY
How many guests are expected?*
Contact Name*
First Last
Contact Email*
Contact Phone*
Charity - Event Website
Mailing Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Is the Charity registered as a 501(c), Non-Profit?*
EIN Number
Describe your Event, Charity and/or Activity*
What is your Organization seeking?*
- Money
- Gift Certificate
- Product Donation
How would you like to receive your donation?*
- Pick it up at HopLore Brewing
- Mail it to Address Above
When do you need your donation?*
MM slash DD slash YYYY
Have we supported your organization in the past?
If so, tell us when, where and how we supported you.
Sign up for our Newsletter?
- Yes! Sign me up!

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