Donation/Event Request Form

Please Select One*
Organization Name*
Event Name*
Event Date*

*PLEASE NOTE Monetary/Sponsorship, Clo requests must be received 45 days prior to the event. Product Donation requests must be received 14 days prior to the event
Deadline Date*

Date that you must have an answer from us on your request.
Contact Name*
FirstLast
Email*
Phone*
Address*
Street AddressAddress Line 2CityState / Province / RegionZip / Postal Code
On-Site Clo the Cow Contact*
FirstLast
Cell Phone*
On the day of the event we will need an on site contact for Clo's appearance.
Proceeds to Benefit*
Organization(s) that will benefit from your event.
Event Time*
: HH
MM
Event Address*
Street AddressAddress Line 2CityState / Province / RegionZip / Postal Code
501 (c) (3) Number*
Brief Description of Request*
Attachment (additional information for consideration)
Please attach any additional information you would like us to consider.
Pick-up Date*

Pick-up Hours: 11 - 2pm Mon-Fri 91 Lakeville Street, Petaluma, CA
Product Requested (list specific items and amounts)
Quantity*
Description*
Quantity 2
Description 2
Quantity 3
Description 3
Quantity 4
Description 4
General Comments
Should You need additional assistance please leave a message for Cynthia Cruise at (707) 769-3235.

Product Requested (list specific items and amounts)