Donation Request Form

Due to the overwhelming amount of requests, our support is limited to pet-themed events and retail stores that carry our product line. Please fill out the form below completely for consideration and submit with a minimum 60 days notice. Thank you for your interest.
* Indicates a required field
Event and organization details
* Type of organization:
* Date of event:
* Name of event:
Organization/event web site:
Non-profit 501c3 number:
* How many people are expected at the event?
* How did you hear about DOGSWELL®?
Has DOGSWELL® donated to you in the past?	yes no
* How will the event be promoted?
Is there anything else you would like to tell us about your event/organization?
What would you like us to donate?
Gift basket:	Dog Cat Both
* Samples:	Quantity
Sample product:	DOGSWELL® Jerky CATSWELL® Treats
Donations arrive 1 week prior to event date, indicate if needed earlier:
Contact information
* Event contact:
* Street address (PO boxes not accepted):
* City:
* State:
* ZIP code:
* Phone number:
* Event contact e-mail:
Agreement
* By submitting this donation request form, I hereby agree that any donation received is not to be used for resale. All donations received from DOGSWELL® are for use by the organization noted above.	I agree