Great Harvest Bread Donation Request Form
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1Donation REQUEST form
Here at Great Harvest we believe in giving generously to others. We welcome opportunities to
help our community, and appreciate your interest
.
OUR DONATION guidelines:
We donate to non-profit organizations that serve our community.
•
• We donate our products: bread and cookies.
• We can consider only donation requests that are submitted on this form. We cannot handle
requests over the counter or by phone.
• We ask for at least one week notice of any donation request, but advise as much notice as
you can give.
Donation requests are filled on a first-come, first serve basis. Because of the volume of
•
requests we receive, it is more likely we can help you if you make your request early.
Organization Name__________________________________________________________
Tax ID # ________________________________________________________________
Name of Event_____________________________________________________________
Date & Time of Event _________________________ Number in Attendance_____________
Contact Person_____________________________________________________________
Contact Person Address______________________________________________________
Phone # (daytime) _______________ FAX _______________ e-mail__________________
Type of Donation Request:
_______ Refreshments (please specify: ____ Bread, ____ Rolls, ____ Cookies)
_______ Auction Item (ex., Bread Basket)_______ Door Prize (quantity: ____)
Please briefly note how this event will benefit our community:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Signature _________________________________________ Date __________________
Response
Yes. We are happy to donate the following________________________________________
Retail value of the donation ___________________________________________________
Please arrange to have the donation picked up at the bakery on _______, after_____________
______ Sorry, but we are unable to donate at this time, but please ask us another time.
Please return this form to Great Harvest: Tina Yancey
1137 S. Adams Rd, Birmingham, MI 48009 , , (248) 594-6585fax
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