McKee Foods Product Donation Request Form-Kingman, Arizona

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Required fields indicated with *

Please fill out the following information to request a product donation from McKee Foods Corporation, as all requests must be submitted in writing.

Name of requesting organization *

Organization`s address *

Brief description of activity/event product is being requested for *

County *

Brief explanation of how product will be used at activity/event *

Date of activity/event *

Time the activity/event will begin *

Number of participants expected at the activity/event *

Amount of individual servings you are requesting *

If the organization is registered with the IRS as a non-profit organization as a 501(c)(3) of the Internal Revenue Code include tax ID number *

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Requester`s information:

Name of person submitting request *

Email Address*

Date of submission *

Your relationship to the organization making the request *

Phone number *

P.O. Box 750

Collegedale, TN 37315

800-251-6346