Request for Donation 
At The Lost Bean we like to partner with our community to create a better world. As part of that we are happy to provide donations to organizations that share our desire to leave the world better than we found it. 
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What organization do you represent? 
What is the mission of your organization? 
Contact Information 
What is your 503 C classification? 
If requesting coffee- What is the date and time of pick up? 
If requesting a gift certificate or gift bag- what is the date of pick up? 
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What kind of donation are you seeking to receive? 
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Do we have permission to share your name/story and our support and/or donation on our social media/website/in-store marketing?  
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