Donation Request Form - Moxie Kitchen (Page 2 of 2) in pdf

EVENT INFORMATION

Event Name: ______________________________________________________________________________________________

Date of Event:_____________________________

Estimated # of Attendees: ____________________________________

Event Description (this may also be submitted via event brochure): _____________________________________________

__________________________________________________________________________________________________________

Has your organization received a donation from Moxie Kitchen + Cocktails before? Y / N

Type of Request – please be as specific as possible:

Dining Certificate: _____________________________________________________________________________________

Food / Product: _______________________________________________________________________________________

Other: _______________________________________________________________________________________________

Item will be used for: ____Live Auction ____Silent Auction ____Other (specify) ________________________________

In what ways will the event be marketed? _____________________________________________________________________

__________________________________________________________________________________________________________

Is there an opportunity for our logo and/or website to be featured on the event materials? Y / N

How will Moxie Kitchen + Cocktails’ donation be recognized? ___________________________________________________

__________________________________________________________________________________________________________

When is the donation item(s) needed? _______________________________________________________________________

ADDITIONAL INFORMATION

• Non-Profit / Tax Exempt / 501(c) (3) Forms - Please attach as applicable.

• Please attach any event brochures, donation letters (on official letterhead), or event donation forms to this

request.

• Please email all information to (subject line: Donation Request, plus your

Organization/Event name) OR,

• Completed forms may be mailed to the following address:

Moxie Kitchen + Cocktails

ATTN: Donations

4972 Big Island Drive

Jacksonville, FL 32246

Thank you again for contacting Moxie Kitchen + Cocktails. We look forward to making our community

stronger together!

Donation Request Form - Moxie Kitchen Page 2