Italian Sandwiches

FOR OFFICE USE ONLY Date received: Approved? Yes / No

ITALIAN SANDWICHES PIZZA PASTA & MORE Courtesy, Quality & Service... A winning combination since 1939. Donation Request Contribution Guidelines: The proceeds for this request must benefit a community event or charitable cause. To assure fair processing, this request must be completed and returned seven days prior to the date it is needed. Date: Deadline for Event Date: response:

Organization Requesting Donation:

Organization Address: Is this organization for profit? If yes, how are the profit's used? Contact Name:

Contact Phone Number: Contact Address:

E-Mail: President or Head of Organization:

Specific Items Requested:

Is this item for resale? If request is for advertising what is the cost of the ad? Purpose/Reason for Donation Request:

Has Sam's ever contributed to this organization? Has Sam's contributed to this organization this year? Have you ever been a Sam's Customer? Are you seeking donations from other restaurants? Additional Comments:

Send completed form to: Sam’s Italian Foods 268 Main Street Lewiston, Maine 04240 Fax: (207) 782-3827 E-Mail: [email protected]