DONATION REQUEST FORM

First Name: *
Last Name: *
Address:
City:
State:
Zip:
Telephone: * - -
Email: *
Restaurant Location: *
Comment:


Please take time to review the following guidelines prior to your submission:

  • Requesting organization must be within a ten mile radius of a Brigantine Seafood Restaurant or any of The Brigantine Family of Restaurant locations.
  • In order to qualify for review from our community relations committee the requesting party must be a registered, non-profit organization 501(c)(3).

Be assured that we do receive all requests and if your organization is chosen, you will receive our contribution in the mail prior to your event. Please note that due to the volume of donation requests, we apologize that we are unable to fulfill all requests.

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