Blue Moon Mexican Café is an extremely community oriented company and we

would love to help out everyone.  Please understand that we receive numerous requests

and while they are all deserving we do have to make decisions on which ones to

honor and turn down.  Our community nights are another alternative for you so please

take a look at those guidelines, they might match your need better.

Name of Organization: *

Email Address: *

Tax ID (non-profit): *

Type of Event: *

Contact Person's Name: *

Date of Event: *

Address: *

Location of Event: *

Daytime Phone: *

Donation Requested:

How will the donation be used?:

How will Blue Moon be acknowledged?:

Additional Comments for consideration:

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