Donation Form Donation Form Have you received a donation from Cake Me Away in the past?* Yes No When was the previous donation received?* MM slash DD slash YYYY Is this donation for a business or organization?* Yes No Business/Organization Name* Business/Organization Website Business/Organization Phone NumberEIN/Tax ID Does the company/organization have 501(c)(3) status?* Yes No Name of Contact* First Last Contact Title Contact Phone Number*Contact E-Mail Address* Event Name* Purpose of Event Event Date* MM slash DD slash YYYY Event Time : Hours Minutes AM PM Requested Donation*Gift CardSugar CookiesCupcakesCakeOtherGift Card Amount* $25 $50 Other Quantity of Sugar Cookies (dozen)*Please enter a number from 1 to 5.Description of Sugar Cookies*Sugar Cookie Image Drop files here or Select files Max. file size: 2 MB. Quantity of Cupcakes (dozen)*Please enter a number from 1 to 5.Description of Cupcakes*Cupcake Image Drop files here or Select files Max. file size: 2 MB. Description of Cake*Cake Image Drop files here or Select files Max. file size: 2 MB. Other* Description of Other*Other Image Drop files here or Select files Max. file size: 2 MB. Pickup/Delivery*PickupDeliveryShipPickup/Delivery Date* MM slash DD slash YYYY Pickup/Delivery Time : Hours Minutes AM PM Pickup/Delivery/Shipping Contact First Last Delivery/Ship Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code EmailThis field is for validation purposes and should be left unchanged.
