Complete and Submit This Donation Request Form

Please make sure to complete all fields. You can also attach your 5.01(c)3 certification below as a PDF and include it with this form.

Donated products may be picked up at Zweigle's, 651 Plymouth Ave. North, at the Verona St. loading dock at the rear of the building. Pickup hours are Monday - Friday between 9:00 a.m. and 2:00 p.m.

These products MUST be continuously refrigerated to ensure food safety. Please bring coolers with you for pickup and keep products cold during storage and prior to immediate use.

Your Organization

Organization Name*
Federal Tax ID No.*
5.01(c)3 non-profit*
Contact name and title*
Organization Address*
City State Zip*
Briefly describe your organization - what it is and what it does

Your Event

Name of event or program*
Event Date*
Estimate number of people attending*
Area to be served*
Objective of event*
Event coordinator's name*
Event location/address*
City State Zip*

Your Request

What would you like Zweigle's to donate (please be specific)*
Have we donated to your organization in the past*
Will Zweigle's be recognized as a sponsor/contributor to your event?*