Partnership Request Form

Please keep in mind that this is an expression of interest form. While we love giving back to our community, it is not possible for us to respond or fulfill every request.

Please note any request made without a 30-day advance notice is subject to be declined.

Name of Non-Profit Organization

For a donation, your organization must be a verified school or non-profit.

Description of Non-Profit Organization

Provide details about the organization and introduce us to your mission.

Address

The organization and/or event must be located in Ascension Parish or general community area.

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Contact Person

First Name

Last Name

Phone

(###)

###

####

Email

Your Idea for Donation

Please tell us about your request. Include any details you would like us to know including if you are wanting our team present, food donation, gift basket, etc. Also include how this benefits both of our organizations.

Date of Event

If applicable

MM

DD

YYYY

Time

If applicable

Hour

Minute

Second

Interest in Chick-fil-A Cow Attending your Event

Please keep in mind that this is only a request for a Cow appearance. While we wish we could attend every community event, it will be based on availability.

Yes

No

If selected yes above, please indicate why you would like the Cow mascot to make an appearance.

Number of Expected Attendees

If Applicable

Number of Requested Donation Cards

If Applicable

Website

If Applicable

http://

Partnership Request Form

W. Highway 30

E. Ascension St.