*In order for your organization to be considered for a product donation,
please fill out both the donation request (below) and the product integrity agreement (Step 3).
T.G.Lee Dairy Donation Request Form
Organization:
501C3 #:
Street Address:
City:
State:
Choose a State
Outside US / Canada
Alabama
Alaska
Alberta
American Samoa
Arizona
Arkansas
British Columbia
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Manitoba
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Brunswick
New Hampshire
New Jersey
New Mexico
New York
Newfoundland
North Carolina
North Dakota
Nova Scotia
Ohio
Oklahoma
Ontario
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
Saskatchewan
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code:
Key Contact:
Email Address:
Phone Number:
Event product is being requested:
Number of participants anticipated:
Product Request:
Milk Description (whole, 2%, etc.):
Milk Size (gallons, half-pints, etc.):
Quantity (8 gallons, 50 half-pints, etc.):
Date of Event:
Date you are available to pick up product:
(Mon-Fri)
Location at which you will pick up product:
Orlando
Orlando
Tampa
Sarasota
Orange City
Jacksonville
Ocala
Tampa
Sarasota
Orange City
Jacksonville
Ocala
How will product be stored?
Are you willing to recognize TG Lee’s contribution?
Yes
No
If yes, briefly describe:
Have you made a donation request within the past year?
Yes
No
Other comments:
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