Donation/Sponsorship Requests

Your Name*

Phone Number*

Email Address*

Are you a Member Owner or Employee?*

Yes

No

If yes, what is your patron number/work location?

Have we donated to your event/organization in the past 12 months?*

Yes

No

Type of organization / event:*

Select or enter value

Purpose of Event/Donation*

What type of donation/sponsorship are you seeking?*

Gift Basket

Gift Card

Cheese

Monetary Donation

Please give specifics (amount/value/# looking for)*

If an event, how many people are attending?

Who/What will this donation benefit and how?*

How is this being promoted?*

Date of Event/Needed By (request must be received 4 weeks in advance)*

Event Location*

If approved, who will pick up the donation?*

If approved, when would you pick up the donation?*

Preferred Pick Up*

Cady Cheese (Wilson, WI)

Burnett Dairy Cooperative (Grantsburg, WI)

Mail (Check and/or Gift Card Only)

If Receiving a Check, Who is the Check Payable to

and What is the Shipping Address

City, State Zip

Do you need Burnett Dairy's logo for promotion?*

Select or enter value

Anything else you'd like to mention?

Attach additional info or flier here

Drag and drop files here or

Send me a copy of my responses

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