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Donation Request Form

Thank you for considering Ember Coffee! We are proud to support our local community and various charitable causes. This form is intended for individuals or organizations seeking donations from Ember Coffee for events, fundraisers, or other charitable activities.

Basic Contact Information

What is your name?

*

What is your phone number?

*

And your email address?

*

Are you a regular at Ember Coffee?

*

Are you a regular at Ember Coffee?

A

No, I've never been there (but want to!)

B

No, it was my FIRST TIME the other day.

C

Yes, I come in a few times a month

D

Yes, and the baristas probably know me (and my drink) by name :)