DONATION REQUEST FORM
Completion of the form does NOT guarantee that The Copper Onion Restaurant Group will fulfill the
request. This request form must be submitted a minimum of four weeks prior to the event date.
Date Submitting Form: ______________________________ Event Date: _____________________
Name of Organization: _____________________________________________________________
Contact Name: __________________________________ Phone: ___________________________
Email: ___________________________________________________________________________
Are you able to pick up the donation? (preferable) [ ] YES [ ] NO
Delivery Address: __________________________________________________________________
Street: ___________________________________________________________________________
City: ________________________________________ State: ________ Zip:___________________
1. Is this Organization a (please circle one):
EDUCATIONAL
ARTS/CULTURE
CHARITABLE
INSTITUTIONAL (SCHOOL)
2. Purpose of Donation: _____________________________________________________________
_________________________________________________________________________________
3. Event Description: ________________________________________________________________
_________________________________________________________________________________
4. Is this event a fundraiser YES / NO
5. Have you received a donation from us in the past? YES / NO
If so, what year was the donation issued.
Please return the completed Donation Request Form and letter stating the purpose of the request on
the Organizations letterhead. Forward these completed documents to
with
‘Donation Request Form’ in the subject line or you may also mail directly to The Copper Onion to the
address below.
v2013
The Copper Onion 111 East Broadway, Suite 170, Salt Lake City, UT 84111