Charity Name*

501c3 Number*

Charity Phone*

Charity Address 1*

Charity Address 2

Charity City*

Charity State* -- SELECT YOUR STATE --ALABAMAALASKAARIZONAARKANSASCALIFORNIACOLORADOCONNECTICUTDELAWAREDISTRICT OF COLUMBIAFLORIDAGEORGIAHAWAIIIDAHOILLINOISINDIANAIOWAKANSASKENTUCKYLOUISIANAMAINEMARYLANDMASSACHUSETTSMICHIGANMINNESOTAMISSISSIPPIMISSOURIMONTANANEBRASKANEVADANEW HAMPSHIRENEW JERSEYNEW MEXICONEW YORKNORTH CAROLINANORTH DAKOTAOHIOOKLAHOMAOREGONPENNSYLVANIARHODE ISLANDSOUTH CAROLINASOUTH DAKOTATENNESSEETEXASUTAHVERMONTVIRGINIAWASHINGTONWEST VIRGINIAWISCONSINWYOMING

Charity Zip*

Event Date*

Event Name*

Event Address*

Event City*

Event State* -- SELECT YOUR STATE --ALABAMAALASKAARIZONAARKANSASCALIFORNIACOLORADOCONNECTICUTDELAWAREDISTRICT OF COLUMBIAFLORIDAGEORGIAHAWAIIIDAHOILLINOISINDIANAIOWAKANSASKENTUCKYLOUISIANAMAINEMARYLANDMASSACHUSETTSMICHIGANMINNESOTAMISSISSIPPIMISSOURIMONTANANEBRASKANEVADANEW HAMPSHIRENEW JERSEYNEW MEXICONEW YORKNORTH CAROLINANORTH DAKOTAOHIOOKLAHOMAOREGONPENNSYLVANIARHODE ISLANDSOUTH CAROLINASOUTH DAKOTATENNESSEETEXASUTAHVERMONTVIRGINIAWASHINGTONWEST VIRGINIAWISCONSINWYOMING

Event Zip*

Event Description*

How will the donation benefit the charity?*

Expected attendance*

Are Turkey Hill products sold in stores near your event?*

YesNo

How will our donation be recognized in promotion of the event, at the event and/or post-event?*

SignageAnnouncementSocial MediaT-Shirt/BannerRadio/TVOther

Other*

Type of product desired. Ice Cream and Drinks are not offered to events more than one hour away from Columbia, PA.*

Confirm the need for you to pick up product in Columbia, PA*

Yes, we will pick up the donated product at 301 Linden Street, Columbia, PA 17512

First and Last Name*

Are you a Turkey Hill Dairy employee?*

YesNo

If yes, what is your Turkey Hill ID Badge Number?

Cell Phone*

Email*

Address 1*

Address 2

City*

State* -- SELECT YOUR STATE --ALABAMAALASKAARIZONAARKANSASCALIFORNIACOLORADOCONNECTICUTDELAWAREDISTRICT OF COLUMBIAFLORIDAGEORGIAHAWAIIIDAHOILLINOISINDIANAIOWAKANSASKENTUCKYLOUISIANAMAINEMARYLANDMASSACHUSETTSMICHIGANMINNESOTAMISSISSIPPIMISSOURIMONTANANEBRASKANEVADANEW HAMPSHIRENEW JERSEYNEW MEXICONEW YORKNORTH CAROLINANORTH DAKOTAOHIOOKLAHOMAOREGONPENNSYLVANIARHODE ISLANDSOUTH CAROLINASOUTH DAKOTATENNESSEETEXASUTAHVERMONTVIRGINIAWASHINGTONWEST VIRGINIAWISCONSINWYOMING

Zip*

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