Donation Request - Abita Beer

Contact Information

Charity Name

Name

Title

Address

Address 2

City

State

Zip

Phone

Fax

Email Address

Organization Information

Tax ID number

Briefly describe your organization, its goals and programs

What type of donation are you seeking?
Please be specific regarding the quantity of product desired.

Please describe the event where the Abita product will be served.

Are you going to be serving any other brands or type of beverage?

Yes No

If yes, what other alcoholic beverages are going to be served?

Event Information

Name of Event

Date of Event

Event Location

Event State

Event Zip

Non-Profit Information

This request will need to be accompanied by a copy of the organization's IRS Non-Profit Status Verification Letter.

(image or PDF only)

A $200 refundable deposit is required for each keg and $50 for each tap. Your deposit will be refunded to you in full when the kegs and taps are returned in good condition, within 10 business days of your event. We accept all major credit cards; no cash or checks are accepted. You may pick-up and return the kegs and taps any Tuesday through Friday between the hours of 7am-11am. Kegs and taps must be returned within 10 business days of your event.

The donee warrants that it does not hold a license to sell alcoholic beverages in the State of Louisiana.

Please type your name below if you have read and agree to the above statements

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Donation Request Form

Contact Information

Organization Information

Event Information

Non-Profit Information

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