Dachtoberfest Charitable Donation Company Name(Required) First Last Address(Required) Street Address City State Zip Phone(Required)Email(Required) Name of Recognition Type of DonationGift Card Amount Coupon/Discount Amount Product Item Description Other Expiration Date (if applicable) Restrictions: (limitations, blackout dates, etc.) I will mail the donation to DDRTX Please have representative pick up donation on Date and time Date and time