Donation / Sponsorship request

• All Donation requests must be completed in full before the request is considered.
• Donations will only be considered in submitted 30-days, or more, before the event.
• Due to recent changes in the tax code – donations will only be considered for 501(c)(3) organizations/events.
• If you are not a 501(c)(3) – we will consider selling product, at a reduced cost, plus the $0.10 Oregon Bottle Deposit.
• All donations will be required to pay the Oregon Bottle Deposit at the time of pick-up
• Donations must be picked up at the Culver office, unless special arrangements are made in advance.

Is Earth2o 5 Gallon delivery service currently used by your establishment?

Name of Organization (required)

Mailing Address

501(c)(3) Organization (Y/N)

Tax ID number

Authorized Contact

Contact Email (required)

Contact Telephone

Media Contact

Social Media Links to event or organization (facebook, twitter instragram handles or links)

Event(s) and date(s): (Include history of event & number of attendees expected)

Purpose of event(s)

Product size and/or quantity requested

Is the product being sold or given away?
SoldGiven Away

Will there be press coverage of your event?

Thank you! Please click Submit and we will get in touch.