Fund Raising / Donation Request

Please complete entire form.  Note: completion of the form does not guarantee approval of any donation request. Buffa Louie’s management will contact organization regarding your request.
Name of organization:
Person making request:
Address of organization:
Organization's EIN number:
Is the organization a 501(c)3? YesNo
Dine to DonateGift CertificatesFood DonationTeam SponsorshipEvent SponsorshipOther
If Other, please specify:
Date of event for request:
(note: Requests must be made 30 or more days prior to the event/need)
Summary explaining the event:
Summary explaining how donation would be utilized:
How would BuffaLouie's be recognized for donation?
BuffaLouie's logo needed?

Buffalouies - Chillinder Cooler