Giving Life Spirit Application

To apply for a Giving Life Spirit donation, please first read the program description. It contains valuable hints and eligibility requirements.

We require that you submit your request at least 90 days prior to your event. If you have been selected to receive a donation, you will receive an email confirmation about a month before the date of your event. PLEASE NOTE: fields marked with a * are required.

*Organization Name
Type of Event
*Event Name
*Event Date(mm/dd/yy) (must apply 60 days prior to the event)	/ /
* Event City
*Event State	Select State, U.S. only Alabama Alaska Arizona Arkansa California Colorado Connecticut Delaware DC 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
Web site URL
*Please let us know a little more about your organization.
*Non-profit group?	Yes No
*Contact First Name
*Contact Last Name
*Email
*Phone (Day)
*Shipping Address: (NO P.O. BOXES, PLEASE)
* City
State	Select State, U.S. only Alabama Alaska Arizona Arkansa California Colorado Connecticut Delaware DC 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
*Zip Code
*Has Annies Natruals donated to this organization in the past?	Yes No
If yes, when?
*Expected attendance this year?
*How do you intend to distribute our product?
*How will Annies Natruals be promoted in association with the event?
*Please type the code you see in the image:
Again, thank you so much for thinking of us for your event.
	Privacy Policy