Form cover
Page 1 of 1

Donation Request Form

We love supporting the people and organizations that make our community special. As a small, family-run business, we set aside a limited donation budget each year. Once it's gone, it's gone — so we can stay sustainable and continue serving great coffee.

Please fill out this form to request a donation. We review submissions regularly and will contact you if we’re able to support your request. Thanks for the work you do!

Full Name

Organization Name

What is your email address?

Is your organization a 501(c)(3) nonprofit?

Is your organization a 501(c)(3) nonprofit?
A
B
C

Website or Social Media

Briefly describe your organization’s mission or purpose (2–3 sentences):

What are you requesting from Electric Fountain Brewing?
(e.g., coffee, gift card, product basket, financial contribution)

Date of your event or donation deadline:

Anything else you'd like us to know?