SPECIAL REQUEST

Date of Event *

Please provide a detailed description of the event and any additional information that may be beneficial. *

I understand that the max donation per organization is ONE donation per year. *

YES

NO

Name of Organization *

Donation Type *

Address of Organization *

Is your organization an IRS non-profit or public tax-exempt organization (i.e. schools, churches) as defined under Section 501(c)? *

YES

NO

Date of Application

Name of Person Making Request *

Contact Phone *

Email Contact *

Date of Application *

I understand that Tony & Sons' Seafood receives multiple donation requests per month and it may take up to 7 days for a response *

YES

NO