Thank you for your interest in Alterra Coffee as a prospective contributor to your organization. To help us evaluate all requests fairly and consistently, we ask that solicitations for charitable gifts be submitted using the form below.

Please take a moment to review our donation policy, as we can only honor requests that meet the following guidelines.


Your Information:

Your Full Name:
Phone Number:
Email Address:

About Your Organization:

Organization Name:
How would you classify the focus of your organization?
Your non-profit tax ID #:
Web site:
What is your organization's mission?

Has your organization received a donation from us in the past?
What is your position or affiliation with the organization?

About the Donation:

The name and type of event at which the donation will be used:
Event Date (2 weeks advance notice required):
Goal of the Event:
What will the donation be used for?
If you selected other please describe here:
Item Requested:
If you selected other please describe here:
Quantity or amount of donation:

Pick-up Info

To preserve the freshness of your coffee, we ask that donations be picked up within one week prior to your event.

Pickup Date:
Pickup Time:
Who will pick it up?
That person's phone #:

Thanks again for your interest in Alterra Coffee. We look forward to working with your organization.

In order to help limit spam-bot form submissions we ask you to enter the word alterra in the below field.