Thank you for inviting MSPH2O to take part in your event!

We require at least a two week lead time to consider any donations. Thank you for understanding.

MSPH2O Water Donation Request

• Name of Organization *
• Please describe your event beneficiaries.
• Date of Event *
• Requested Pick Up Date *
• Number of Cases Requested **1 Case= 24 16.9 oz bottles
• Has this event recieved a donation from MSPH2O in the past? *
  YesNo
• How many attendees do you anticipate? *
• Name of Designated Representative *
• Representative Email *
• Representative Phone Number *
• Location of Event *
• Event Address *
• Please give a brief description of the in-kind sponsorships available for our donation.
• Please attach applicable event flyers and sponsorship forms.

 

Verification

• Please enter any two digits *Example: 12
• This box is for spam protection - please leave it blank: