Donation Request

If you don't hear back in the next few days, feel free to email office@losbagels.com to follow up or to send any additional information.

NOTE: Please submit donation requests at least two weeks prior to the event date. Not all donations requests will be fulfilled, but we will try our best to spread the love. :)

Name

First Name

Last Name

Email Address

Phone

What's the best number to reach you?

(###)

###

####

Name of organization that will benefit

Is this a non-profit organization?

Yes

No

Tell us what type of donation you are requesting

Date of Event

What day is the event?

MM

DD

YYYY

What day would you like to pick up the donation if it's approved?

MM

DD

YYYY

What time would you like to pick up, if approved?

Must be during open hours.

Hour

Minute

Second

Would you like to pick up at the Arcata or Eureka Los Bagels if approved?

Arcata

Eureka

Additional/Notes