Donation Request Form

Thank you to every non-profit, PTA, food bank, food pantry, walk organizer, golf outing organizer, auction request, fallen officer fund, raffle request, and all of our community passionate partners! Hickman’s has donated over 1 million eggs during an unprecedented epidemic. We have funded several local scholarships, school support activities and attended many events with Funky the Chicken and gifts for attendees.

All donations have been paused until further notice.

Thank you for understanding.
The Hickman Family

For emergencies – please contact Julie Campillo directly at jcampillo@hickmanseggs.com. We are happy to connect all requests to Kiwanis and Rotary leadership. These groups have offered to partner in continuing events.

Primary Contact
Name
First Last
Email
Phone
Ext
Secondary Contact
Name
First Last
Email
Phone
Ext
Organization Information
Organization Name
Non-Profit 501c3 Tax ID Number
Address
Street Address Address Line 2 City State ZIP Code
Mailing Address
Street Address Address Line 2 City State ZIP Code
Event Information
Event Name
Event Date
MM slash DD slash YYYY
Event Time

: Hours

Minutes

AM/PM
Event Location
Event Size / Expected Reach
Event Purpose
Donation Intended Use
Donation Due Date
MM slash DD slash YYYY
Items Requested
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Primary Contact

Secondary Contact

Organization Information

Event Information