<p>SCHLAFLY BEER DONATION REQUEST FORM</p><p>To request a donation from Schlafly Beer, please fill out the form below and submit to Lauren Mirelli. </p><p>Mail: Schlafly Beer 2100 Locust Street E-Mail: [email protected] Fax: 314-241-8101 Saint Louis, MO 63103</p><p>ORGANIZATION BENEFITTING FROM DONATION ORGANIZATION NAME:</p><p>MISSION STATEMENT:</p><p>501©3 NUMBER</p><p>CONTACT INFORMATION NAME: STREET ADDRESS: CITY, STATE, ZIP: EMAIL ADDRESS: PHONE NUMBER:</p><p>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. </p><p>EVENT INFORMATION EVENT DATE: LOCATION: EVENT DESCRIPTION: EXPECTED ATTENDANCE:</p><p>If requesting beverages for consumption, will other alcoholic beverages be served?</p>