Schlafly Beer Donation Request Form

SCHLAFLY BEER DONATION REQUEST FORM

To request a donation from Schlafly Beer, please fill out the form below and submit to Lauren Mirelli.

Mail: Schlafly Beer 2100 Locust Street E-Mail: [email protected] Fax: 314-241-8101 Saint Louis, MO 63103

ORGANIZATION BENEFITTING FROM DONATION ORGANIZATION NAME:

MISSION STATEMENT:

501©3 NUMBER

CONTACT INFORMATION NAME: STREET ADDRESS: CITY, STATE, ZIP: EMAIL ADDRESS: PHONE NUMBER:

INTENDED USE FOR DONATION (CHECK ONE) RAFFLE/DOOR PRICE AUCTION ITEM BEVERAGES FOR CONSUMPTION* *Donated beverages may not be used as auction or raffle prizes. Donated beverages may not be re- sold.

EVENT INFORMATION EVENT DATE: LOCATION: EVENT DESCRIPTION: EXPECTED ATTENDANCE:

If requesting beverages for consumption, will other alcoholic beverages be served?