Charity Donations Request

Tell Mark’s about your non profit’s upcoming event to request a donation. Please submit requests 30 days prior to the date the donation is needed.

Non-Profit Organization Name

Federal ID Number

Group name

Organization Email Address

Organization Address

Must match tax records

Contact Name

First Name

Last Name

Contact Phone

(###)

###

####

Please provide a description of your fundraising efforts

Requested Event Day Date

YYYY

Contact Address

Checks will be mailed to this address

Contact Email Address

Restaurant Location

Note: Filling out an application for a Charity Donation Request with Mark’s Feed Store does not guarantee that one will be scheduled. All applications are subject to approval by JRM Foods LLC.