DONATION REQUEST FORM

Thank for your interest in our Charitable Gift Card Donation Program!

All organizations must submit a Donation Request Form to be considered. We cannot accept emails and/or phone calls for donation requests.
Donation Request Forms must be submitted no fewer than 90 days prior to your event.
Our Gift Cards are accepted at The Well Bar Grill and Rooftop, Lew’s Grill and Bar and Charlie Hooper’s Bar and Grille.
Email marketing@waldowell.com with questions or comments.
We are happy to consider donation requests from all types of organizations, schools and events EXCEPT the following:
- Individuals seeking aid
- Organizations lacking proof of 501(c)(3) status
- Conferences and seminars
- Research studies or projects
- Travel or transportation expenses
- Capital campaigns, building projects or equipment
We do not provide food donations or food sampling for events, nor do we make cash donations or provide cash sponsorships of individuals or organizations.

To begin your donation request, please review/complete all information below and click “Submit”

Organization Name*
Tax ID # (EIN)*
501(c)(3) Status Since What Year?*
Organization Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Contact Name*
First Last
Contact Title / Position*
Contact Phone*
Email*
Gift Card Donation Request (Quantity, Dollar Amount, Total)*

(Organizations are generally funded at the $20-$25 level)
Has Your Organization Received Support From Us Before?*
- Yes
- No
When and in What Amount?*
What is the Event Name or Purpose of the Donation?*
What is the Date of Your Event or Date Donation is Needed By?*
MM slash DD slash YYYY
What is the Area / Community this Donation will Serve / Reach?*
How Can/Will You Promote or Recognize Our Donation in Marketing Your Event?*
Would Your Organization Consider Buying Gift Cards or Hosting a Private Event with us in the Future for Employees/Members/Donors, etc.?*
- Yes
- No
Additional Information?
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