Organization Name *

The organization receiving the donation must be a nonprofit and charitable organization and provide a copy of their Federal Tax Exempt Certificate, 501(c) (3) if requested. Check this box if you are a non-profit organization.

Contact Name *

E-Mail *

Phone Number *

Street Address *

City *

State *

Zip Code *

Is this the best mailing address to receive the donation? *YesNo

Event Name *

Event Date *

Event Location *

Number of Attendees *

Donation Requested *

How will your donation be used? *

How will Le Bon Macaron receive name recognition at the event? *

How will your event benefit the community? *

Has your organization received a donation from Le Bon Macaron in the past year? *YesNo

Message *

Which location of Le Bon Macaron do you visit? *Grand RapidsAnn ArborHolland

2 + 6 = ?Please prove that you are human by solving the equation *