DONATIONS

Please fill out the charitable request form below.

Community involvement is an important part of the Quillin’s way. We do all we can to give back and make the communities we serve better for all. An important part of that commitment is our store donation program.

In order for your request to be processed, we ask that you completely fill out the donation form below. This helps us to quickly review your request. Since we receive anywhere from five to fifty requests each week, we are, unfortunately, unable to meet all of them. Should your request be denied, feel free to resubmit for later consideration. Also, we review all pending requests during the second and fourth week of each month, so if you haven’t heard back from us during one of those weeks, please call our office to find out the results of your request.

Organization/Group Name*
Address
Street Address Address, cont. City State ZIP Code
Contact Name*
First Last
Contact Email*
Contact Phone*
Reason for Your Request*
Type of Donation?*
Amount of Discount Requested*
Product/Item Requested*
Other Request*
Date of Event*
MM slash DD slash YYYY
Location of Event*
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Has Quillin's ever donated to your organization/group in the past?*
- Yes
- No
If so, what did Quillin's donate?*
Quillin's contributions are only possible through selling product. Is there a promotional tie-in available?*
- Yes
- No
If so, please explain the tie-in.*
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Group Tax ID #*
*
- * By checking this box, you agree to Quillin's Terms of Service. In addition, all above information is accurate and that you will provide a receipt to Quillin's for any contribution made by Quillin's.