Ben & Jerry's Donations

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Organization name:
Contact Person:
Address:
City:
State:
Zip:
Phone number:
E-mail address:
Event Name:
Event date:
Event Location:
Brief event description:
When was the last donation you received from us?:

Number of pint coupons requested (max of 50):

Type of organization: Non-profit School Municipal Organization

Our donations program focuses on the following categories. What is the focus of your group? (If the focus of your organization is not listed below, please explain in the additional information section)
Children’s basic needs (health, education and security).
World peace through understanding and peaceful conflict resolution.
Environmental concerns.
Family farming and sustainable agriculture.
The eradication of economic disparity.

Additional event information:

We’ll get back to you in a couple of weeks to let you know if we can fulfill your request.