Bell Rock Growers is committed to helping all animals lead happier, healthier lives by supporting animal rescue, adoption and shelter organizations nationwide.

We are currently donating trial-size samples of our popular new line of Pet Greens Treats for cats and dogs. If your animal rescue, pet adoption, or animal shelter is interested in receiving product, please take a moment to tell us more about your fundraising event. Our staff will review all submitted requests and provide you with a response within 7 business days.

Name:
Address:
City:
State:		Choose one AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY	Zip:
Web Site:
Briefly describe your mission:
(up to 500 characters)
Are you a 501 (c)(3)? Yes    No
Point of Contact
	Name:
	Title:
	Email:
About the Event
	Name:
	Date: (mm/dd/yy)
	Location:
	Audience
	Number Expected:
	Who is the audience:
How many samples are you requesting?
	Quantity of dog treats?
	Quantity of cat treats?
How will the treats be used? (i.e. gift bags, table favors, raffle prizes, etc.)
(up to 500 characters)
Who are the other sponsors of the event?
(up to 500 characters)
Sponsorship Placement
Please describe the promotional activities used to highlight the sponsors of your event
Please check all that apply: Logo in program Ad in program Logo on event signage Onstage recognition Sponsor recognition in organization's newsletter Product feature in organization's newsletter Other (please describe)
(up to 500 characters)