The Humidour Cigar Shoppe :: Donation Request

Completion of this form is a request only and does not guarantee a donation. Request form must be fully completed for consideration. Forms not fully completed will be rejected. Please note that we will only consider donation requests from within the state of Maryland. All others will be discarded.

Please check the donation request policy if you have any questions regarding donations.

Upon submitting your request you will receive an email confirming that your donation request was received by The Humidour Cigar Shoppe.

ORGANIZATION CONTACT INFORMATION

First Name:

Last Name:

Organization:

Address:

Apt/Suite:

City:

State:

Zip

Phone:

- -

E-mail:

Re-Enter E-mail:

FUTURE REQUESTS WILL NOT BE HONORED IF NO PROOF OF ACKNOWLEDGEMENT (ie: Brochure, event letter, etc) IS NOT SENT TO US AFTER THE EVENT

EVENT INFORMATION

Event Name:

Event Description:

Event Sponsor:

Event Date:

Event Location:

Estimated # of Persons Attending:

Referred by:

The Humidour Cigar Shoppe • 10721 York Road • Timonium, MD • 410.666.3212

Store Hours: Monday-Saturday 10:00am-9:00pm, Sunday 11:00am-5:00pm