Company/Organization*

501c3 Number

Phone*

Address 1*

Address 2

City*

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

Zip*

Have you requested products in the past?*

YesNo

If yes, what was the name and year of the event?*

Event Date*

Event End Date (if multi-day event)

Event Name*

Event Location*

Event Description*

How will the donation be used?*

Expected attendance*

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 those outside of PA and MD.

Ice CreamDrinksIce Cream CertificatesDrink Certificates

Do you want to be considered for product purchased at a discount?

YesNo

Can you pick up your products at the Turkey Hill Experience (301 Linden Street, Columbia, PA)*

YesNo

Amount of product desired*

First and Last Name*

Are you a Turkey Hill Dairy employee?*

YesNo

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

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*

Please send me special offers and news updates from Turkey Hill Dairy

I understand that pick up of ice cream or drinks is at the Turkey Hill Experience at 301 Linden Street, Columbia, PA 175112

Please know that anything you transmit to Turkey Hill Dairy is nonconfidential and nonproprietary. This means we're free to use any ideas, concepts, or techniques you send for any purpose without compensation to you, including developing, manufacturing, and marketing our products. This includes, but isn't limited to, their reproduction, transmission, and publication.