Pop Corner Donation Request Form
Please have the request form completed and returned at least 2 weeks prior to your event.  Please understand that a completed form does not guarantee a donation. We do not accept donation requests through the postal service or email. Please note we do not donate cash.
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Organization Name
 *
Contact Name
 *
Phone Number
 *
Email
 *
Type of Organization
 *
Date of Event
 *
MM
/
DD
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YYYY
Requested Pick up Date
Please note popcorn will stay fresh up to 5 days before
MM
/
DD
/
YYYY
What is your Event? (After Prom Party, Benefit for a person, Please Be Specific)
 *
What is the expected attendance of your event?
 *
What are you wanting donated? *
Has the organization requested a donation in the last 12 months?
 *
Are members of the organization customers of Pop Corner?
 *
I understand that this is a REQUEST for a donation.  
If approved, I will be contacted by Pop Corner 2 Weeks before my event to coordinate pick up.
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