MSPH2O Water Donation Request

Thank you for inviting MSPH2O to take part in your event!

We require at least a two week lead time to consider any donations. Thank you for understanding.

Name of Organization(Required)

Please describe your event beneficiaries.

Date of Event(Required)

Requested Pick Up Date(Required)

Number of Cases Requested(Required)

1 Case = 24 16.9 oz bottles

Has this event received a donation from MSPH2O in the past?(Required)

Yes

How many attendees do you anticipate?(Required)

Name of Designated Representative(Required)

Representative Email(Required)

Representative Phone Number(Required)

Location of Event(Required)

Event Address(Required)

Please give a brief description of the in-kind sponsorships available for our donation.

Please attach applicable event flyers and sponsorship forms.

Drop files here or

Max. file size: 8 MB, Max. files: 3.