Empire Eats Donation Request Form
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1Donation Request Form
We believe in giving generously to others and welcome opportunities
to support our community.
• Priority is given to non-profits and other organizations that serve our community.
Our donation guidelines:
• We consider only donation requests that are submitted on this form.
• Given the volume of requests we receive, we ask for at least two weeks notice for any donation
request.
Organization Name: __________________________________________________ Name of Event: _____________________
Date & Time of Event: ___________________________ Number Attending: _______________
Contact Person: _______________________________________________
E-mail: _____________________________________
Phone # (daytime): _______________________________ Fax: ________________________________
_______ Gift Cards (please specify restaurant(s) & amount(s) below)
Type of Donation Request:
$_____ The Pit $______ Sitti $______ Gravy $______ Raleigh/Morning Times
_______ Other (please explain below)
______________________________________________________________________________________________________________________________ ___________
_______________________________________________________________________________________________________________________ __________________
Please provide the official website for the organization/event below:
_____________________________________________________________________________________________________________________________ ____________
Please provide additional detailed information so that we may determine if it is appropriately
suited for a donation (attach additional documentation, if necessary):
____________________________________________________________________________________________________________________ _____________________
_____________________________________________________________________________________________________________________________ ____________
______________________________________________________________________________________________ ___________________________________________
_____________________________________________________________________________________________________________________________ ____________
_________________________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________ ____________
Signature ___________________________________________________________ Date ___________________________
Please return this form to Empire Eats: ,
p: 919-459-3206, f: 919-839-0382, 133 Fayetteville St Raleigh, NC 27601
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