Donations

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Donation Request Form

All requests must be submitted 30 days prior to the event date using this form. Due to the volume of requests, we are unable to respond directly to each individual submission. We will contact you if we are able to fulfill your request.

Contact Name:

Date needed:

Name of organization:

Which products are you requesting?

1/2 Liter (24/case)1 Gallon (6/case)

Tax ID # (If applicable)

Case quantity requested?

1/2 Liter Qty | 1 Gallon Qty

Street Address:

Is this donation related to an event?

YesNo

City:

Name of event

State:

Location

Zip Code:

Zip code

Projected # of attendees

Phone #

(E) Donation description
(200 words max)

Fax #

Are you a current customer of
DS Waters?

YesNo

Email Address:

Account # (if applicable)

Confirm Email:

CONTACT US AT 1-800-669-3402