Charity Request Form

If you are a school, non-profit, or other community organization looking for a donation, please fill out this form. We get many requests throughout the year and we have partnered with Fruitland Falcons Youth Sports in Fruitland, Maryland. We do consider fundraising nights at the restaurant so please fill out the form below. We will take each case by case depending on how many requests we receive throughout the year. Thank you for reaching out. We are a locally owned business and love to partner with people and organizations around Salisbury. 

Name of organization:
Contact Name:
Address Street 1:
Address Street 2:
Zip Code: (5 digits)
Daytime Phone/cell phone:
Best time to get in contact: