Donation Request Form | Lufkin Coca Cola

Have you read and understand the Lufkin Coca-Cola donation guidelines?*
- No
- Yes
Sorry, your request cannot be submitted.
Sorry we are unable to process your application because one of your responses does not meet the donation request guidelines. Please review our guidelines for donation requests. Thank you.

Do you have a 501-C3 # or Federal Tax Id#*
- No
- Yes
Please enter your 501-C3 # or Federal Tax Id#*
Sorry, your request cannot be submitted.
Sorry we are unable to process your application because one of your responses does not meet the donation request guidelines. Please review our guidelines for donation requests. Thank you.

Are you a political, denomination or partisan organization?*
- No
- Yes
Is this for a talent or beauty contest?*
- No
- Yes
Are you an individual team or sports player?*
- No
- Yes
Is your event a benefit for individuals?*
- No
- Yes
Sorry, your request cannot be submitted.
Sorry we are unable to process your application because one of your responses does not meet the donation request guidelines. Please review our guidelines for donation requests. Thank you.

Please enter the date of your event.*
MM slash DD slash YYYY

If not 30 days prior to event this request will be denied. Please review the donation guidelines.
I understand that if the date of my event is not 30 days prior my request will be denied.*
- Yes

Name*
First Last
Please enter your 501-C3 # or Federal Tax Id#*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Type of Organization:*
If other please explain:*

Event Name*
Event Date*
MM slash DD slash YYYY

If not 30 days prior to event the request will be denied. Please review our donation guidelines.
Location of the Event*
Description of Event*
Captcha

Sorry, your request cannot be submitted.