Brown'S Orchards & Farm Market Donation Request Form
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1Donation Request Form
(2 week notice requested)
Date of Event: ________________________
Name of Organization: ___________________________________________________
Contact Person:_________________________________________________________
Address: ______________________________________________________________
Phone Number: _______________________ Fax Number: ______________________
Email: _____________________________________ □Check here to be added to Brown’s E-mail update list
Name of Event: _______________________________ # of people attending _________
Item requested ___________________________________________________________
I will pick up the item at the Loganville Store on ____________ at __________ (time).
(please note, if your
item is a perishable item, please pick up the day of the event for best quality. This is important to us to uphold our
reputation of quality products.)
I understand that Brown’s Orchards & Farm Market reserves the right to refuse any donation request upon their discretion.
In the event Brown’s donates an item, it will be used strictly for charitable purposes through auctions, door prizes, and
raffles, etc. I am aware of the Brown’s policy to grant one (1) donation per year per organization.
____________________________________ ______________________
Signature
Date
Please fax or email this form to: 717.428.0320 or
For office use only:
Request Rec’d on __________ by __________________ Date referred to Stan/Dave____________
Item Requested & Approved:
Gift Certificate ___________________________________________________
Gift Basket ______________________________________________________
Flowers _________________________________________________________
Deli ____________________________________________________________
Bakery __________________________________________________________
Produce/Fruit _____________________________________________________
Approved by _________________ on ___________ Contact person notified on _______________
CC:
Bakery
Produce
Gift Baskets
Other ___________
DATE___________
Managers please complete your order form. Attach this form to the Product Loss Sheets and submit to the office month
end. Please note value.
VALUE $_____________
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