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Dixie Beer
The Original Craft Beer of New Orleans
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Please Complete The Form Below
1
Contact Information
2
Organization Information
3
Event Information
4
Sponsorship Information
5
Agreement
Name
*
First
Last
Email
*
Phone
*
Organization Name
*
Address
*
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
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Delaware
District of Columbia
Florida
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Hawaii
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Armed Forces Americas
Armed Forces Europe
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State
ZIP Code
Is this a nonprofit organization?
*
Yes
No
Enter Your Federal Tax ID Number
*
Please upload a copy of your organization's IRS Non-Profit Status Verification Letter
*
Accepted file types: pdf, doc, docs, jpeg, png, jpg.
Event Name
*
Date of Event
*
Date Format: MM slash DD slash YYYY
What type of event is this?
*
Community Festival
Charity Fundraising Event
Sporting Event
Live Music Event
Event Location
*
Street Address
Address Line 2
City
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
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Please describe your event
*
Have we ever donated to this event? If so, when?
*
What type of sponsorship are you requesting?
*
In-Kind Beer
Door Prize / Raffle Item
What is the quantity of product desired?
*
Number of people expected to attend
*
Are you going to be serving any other brands or types of alcoholic beverages?
*
Yes
No
Please list any other alcoholic beverages that will be served
The donee warrants that it does not hold a license to sell alcoholic beverages in the State of Louisiana.
Please type your name below if you have read and agree to the above statement
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