Event Information

Event Name:
Date of Event: (mm/dd/yyyy) Time of event:

Must be submitted six weeks prior to your event date
Event Location: Expected Attendance:
Brief Description of the event: (75 Characters)

Business Information

Name of Organization: Address:
City: State: Zip Code:
  
Tax Identification Number:

**Please fax a copy of this Letter to 630-241-2300**

Primary Contact Information

Name: Relation to Organization:


Address: City:
State: Zip Code: E-Mail:
Phone: Fax:

Donation Information

Donation Type: Donation Item:

Which Panera Bread bakery-cafe is your choice to receive the donation?

Primary Choice: Secondary Choice:
Prefered Pick Up Time: (10 Characters)
Requested Donation Quantity: (100 Characters)
How do you plan to advertise Panera Bread as a partner/sponsor of your event?
(Proof must be furnished no later than 1 week prior to event date) (200 Characters)

If you would like to receive a copy of this information in your E-Mail, Please check the box below and enter your email address.



We try to respond to all community event donation requests and Day-End Dough-Nation requests within (4)-business weeks.  Submitting a request form does not guarantee approval.