Coontail Donation Request Form

All requests require a minimum of 2 weeks notice. Your request will be reviewed and a member of our staff will contact you within 72 hours.

Note: Not all requests will be guaranteed a donation, as it must align with our budget and company standards. However, Coontail always strives to promote our community as we are proud of our Northwoods neighborhood.

Name of Organization/Fundraiser This field is required

Contact Name This field is required

Contact Number This field is required

Contact Email This field is required

Address Related to Donation Request This field is required

Fundraiser Information: Must Include Date of Event, Description, Location and Goals This field is required

Coontail Donation Request Form

Join our mailing list