PUSHKIN’S BAKERY DONATION REQUEST FORM info@pushkinsbakery.com Thank you for your interest in including Pushkin’s Bakery in your upcoming nonprofit charitable event. Please note that due to the large volume of donation requests we receive, we are only able to approve on average 10% of the submitted donation requests. Before you submit your donation request, to save both you and us time, please make sure that your donation request does not fall into any of the categories listed below: For profit events Events / groups that do not have a tax ID number Events that are for personal interest Events that are for less than 40 people Events that are in less than 30 days of date when request form is submitted What we require from you for us to participate / donate to your upcoming event: Pushkin’s Bakery is the only gluten-free and/or vegan bakery participating Attendees of your event are notified of our bakery’s participation at least 15 days before the event, and again within 1-5 days before your event. Modes of communication include, but are not exclusive to; social media, in store print material, online media (website, newsletter) radio media, and TV media. Our business name Pushkin’s Bakery, in print, is featured in all media related to the event as a donating sponsor. At your event we require signage clearly displaying our products / merchandise / donation. We will provide printed signage. We require that all attendees can clearly and quickly identify which donated products are ours, and not that of a competitor. No individual working the event can represent Pushkin’s Bakery aside from Pushkin’s Bakery employees. If all requirements mentioned above are not fully met, your organization may be held liable for a bill in the amount of the donated items at full retail-price. If our attendance is requested, we require either a 4x4 ft space or an 8x8 ft space for our own event tables. If we cannot bring one of our own event tables, we unfortunately will not be able to attend your event. 1 PUSHKIN’S BAKERY DONATION REQUEST FORM info@pushkinsbakery.com If we are interested in participating in your event, we will contact you. Please do not follow up to check on the status of your request as we only respond to completed donation request forms that we are interested in, not follow up emails. In the event you do not hear back from us, unfortunately we are either already booked for the given event time of your event or we have decided this particular event is not a right fit for us at this time. To submit this form for review please fill in the appropriate spots below, answer all questions completely, and email the form back to info@pushinsbakery.com, attention Danny Turner. Please do not bring completed hard copies of this form into the bakery as they will not be accepted. Name of Organization: Tax ID number: Name of Event: Number of years event has occurred: Date and time of event: Location and address of event: Organization and event websites: Brief description of particular event: Beneficiary of charitable event: Number of confirmed attendees to event: Number of expected attendees to event: Are you requesting delivery to the event?: Are you requesting gift card donations?: o If yes, how many gift cards are you requesting?: Are you requesting a cake donation?: o If yes, is this a cake auction?: Are you requesting product donation?: o If yes, how many people do you expect to serve with our donation?: 2 PUSHKIN’S BAKERY DONATION REQUEST FORM info@pushkinsbakery.com Please describe how and where our products will displayed and/or served: Are you requesting our presence at your event?: Please list all other food service vendors who are participating in your event. Please also include what they are donating along with the quantities of their donation: Please list all other sponsors participating in your event: Briefly explain why you wish for Pushkin’s Bakery to participate in your event: 3 PUSHKIN’S BAKERY DONATION REQUEST FORM info@pushkinsbakery.com Briefly explain why you think Pushkin’s Bakery would benefit from participating in your event: Briefly explain how your organization intends to promote Pushkin’s Bakery’s involvement in your event: 4 Your name: Your phone number: Your email address: