Request A Donation

Thank you for contacting a Kentuckiana area Chick-fil-A restaurant with your donation request! We are proud to support organizations that take good care of our community.

Please note: requests must be made at least 30 days prior to the desired fulfillment date to be considered. If your request does NOT meet the 30-day lead-time policy, no further communication from us should be expected. If your request satisfies this requirement, a local restaurant representative will contact you within 3 weeks of form submission to let you know if we are able to fulfill your request at this time.

Organization

Your Name

First Name

Last Name

Email Address

Phone

(###)

###

####

Describe your organization or event

What type of donation are you seeking?

Please make a category selection. Further details about your request may be included below.

Request Details

Please provide detailed information about your request, including where applicable: the number of people you are requesting food for, the number of coupons you need, if you are seeking a specific type of coupon i.e. kids meals.

Event Date

If your request is fulfilled, a local restaurant representative will coordinate donation pickup date and time with you.

YYYY

Tax Exempt Status

You will be required to provide your tax-exempt I.D. if your request is fulfilled.

With which area location would you like to make this request?

Are there 30 days between request submission and desired fulfillment?

Please note: requests must be made at least 30 days prior to desired fulfillment date to be considered. Please submit within this required time frame to receive a response from us.

Yes