Kwik Trip Kares Donation Request

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Is this donation associated with an event (Charity dinner, run/walk, etc.) *

Contact Name (First and Last) *

Contact Phone *

Contact Email *

Organization Name *

Purpose of Organization *

How long has your organization existed? *

Month/Years *

Is your organization a food bank or food pantry?

Yes

Is the food bank affiliated with Feeding America?

Yes

Street Address *

City *

State *

Zip Code *

What percent of the proceeds will be used for administration? (e.g. 10%) *

Event Name *

Date of Event *

Event Address *

Purpose of Event / Who benefits? *

Donation Preference: *

Product and quantity or monetary amount requested:

How will this donation be used?

Decision needed by

If you have any additional documents to include with your request, please attach here:

Maximum upload size: 8.39MB