Kuli Kuli Donation Request Form

Kuli Kuli is proud to support community events through product donations. ***Please note that we need 30 days advance notice for all requests. Currently, we are NOT fulfilling requests that cannot cover shipping costs. ***

1. Requester's Contact Information

First Name *This question is required.

Last Name *This question is required.

Email Address *This question is required. This question requires a valid email address.

Phone Number *This question is required.

2. What is the name of the event you're requesting donations for? If you are requesting for more than 1 event, please submit another form after this one is complete. *This question is required.

3. What is the date of the event? *This question is required. This question requires a valid date format of MM/DD/YYYY.

calendar

4. How many days is this event? *This question is required.

5. How many attendees do you expect at this event? *This question is required.

6. Please briefly describe the event and why you think Kuli Kuli's products would be a good fit. *This question is required.

7. Which product are you requesting for this event? *This question is required.

Moringa Superfood Bars
Pure Moringa Powder - single serving packets

8. How many products are you requesting? *This question is required. This question requires a valid number format.

9. How will you tell the story of Kuli Kuli's products at this event? *This question is required.

10. How would you like to receive the product? *This question is required.

Please enter an 'other' value for this selection.

If the product needs to be shipped, what is the shipping address?

First Name

Last Name

Company Name

Street Address

Apt/Suite/Office

City

State

Zip This question requires a valid number format.

Country

Email Address

Phone Number