Donation Request

Thanks for you interest in Ella Dining Room & Bar's Donation Program. Please fill out the form below and we will be in touch with you after we have reviewed your request. Please give us at least 45 days to process your request

Fields marked with a * are required.

Event Information

* Event Name:
* Event Type:
Other Event Type:
* Event Date:
* Number Of Guests:

Organization Information

* Federal Taxpayer ID:
* Type of Organization:
Other Organization Type:
* Contact Name:
* Contact Email:
* Contact Address:
* Contact City:
* Contact Zip Code:
* Contact Phone:
Contact Fax:

Donation Information

Donation Type:	Raffle Prize Auction Prize Food Donation (picked up by organization) Food Donation (staffed by Selland) Monetary Donation Sponsorship Other (Specify Below)
Other Donation Type:
* Donation Deadline:
Message:

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