*All donation requests must be submitted at least one month prior to the event date as it may take a few weeks to process.

Organization Type
Organization Name
Sponsoring Organization*
501-C Number*
Please upload a SIGNED letterhead document from your 501-C Organization* (PDF and JPG files only)
Are you an employee?* YesNo
Have you or your charity received a donation in the last 12 month from Clover Farms?* YesNo
Nature of Event*
(250 characters, maximum)
First Name*
Last Name*
Phone Number*
Email*
Date of Event*
Will you be selling the drinks* YesNo
Drink Selector
Type
Size
Quantity













*Total allowed quantity does not exceed 300 units
Notes and Comments
Pick Up Date*
Can you pick up on the requested date between 11am and 2:30pm?* Yes