Bob's Red Mill Natural Foods Charitable Donations and Community Outreach Program

Thank you for your interest in Bob's Red Mill Natural Foods. We strongly believe in supporting our community and those meaningful events that support our company mission in making this world a better place by providing healthy whole grain products for every meal of the day!

Due to the large number of donation requests we recieve we use this online system. All requests for donations will now be handled on-line.

We consider organizations that encourage the following:

• Health and Nutrition for Children and Adults
• Educating Youth on Nutrition and Exercise
• Non-Profit Organizations

If your organization or event meets the criteria above, please fill out the following application and we will be happy to consider your request.
Thank you for believing in and using products from Bob's Red Mill Natural Foods!

Please note: as much as we would like to fulfill each request we receive, due to the high volume of requests we are unable to fulfill
every one. If your donation request is selected, you will receive
an email stating so. Please allow up to four weeks to process your request.

Donation Request Application

Please complete and submit at least 4 weeks prior to your event
We ask that Portland Metro organizations plan to pick up their donations. Thank you.

Using special characters, such as ' / " or : will return an error. Please only use numbers and letters.

* Denotes a required field

Date of event^*:

Day12345678910111213141516171819202122232425262728293031 MonthJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember Year202020192018201720162015201420132012

Pick-up Date:

Day12345678910111213141516171819202122232425262728293031 MonthJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember Year202020192018201720162015201420132012

Your Contact Information

First Name^*:
Daytime Phone Number^*:
Organization^*:

Last Name^*:
Email Address^*:
Federal Tax ID Number:

Event Information

Event^*: City^*: Zip Code^*:

Street Address^*: State^*: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Description of Event:

How many people will attend this event?:

Is this your first donation request to Bob's Red Mill?^*:

How do you intend to use this Bob's Red Mill donation?:

How will Bob's Red Mill be acknowledged at your event?:

Donation Request:

Sample Packets Gluten-Free Sample Packets Gift Basket (local donation only) Bob's Red Mill Gift Card ($25) Product Request Other Request

Qty:

Qty:

Qty:

Qty:

List requested products:

Details:

Shipping Information (Not required for pick-up requests)

No PO Boxes

First Name: Street Address: State: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Contact Phone Number: UPS Account Number:

Last Name: City: Zip Code: Special Instructions: FedEx Account Number:

Thank you for your donation request. All requests are reviewed and considered. If your donation request is selected, you will receive an email stating so. Please allow four weeks to process your request.