Donation Request Form

Dark Canyon Coffee Request for Donation Form

If your event requires prizes for an event, support for a silent auction, or support for your organization, fill out this donation request form, and we can help! We strive to assist everyone and will contact you if your donation request is approved.

Requesting Organization(Required)

Use of Donation

Item Requested(Required)

Gift Boxes (varied sizes) (input dollar value below)

Coffee Bag(s)

Gift Card (input dollar value below)

Choose which item best suites your needs.

Requested Donation (Value of Gift Box/Card)

$ amount of the value of the Gift box or card

Date Needed:

Date to be Picked Up(Required)

Contact Name(Required)

First Last

Contact Phone(Required)

Contact Email(Required)

Pick Up At Store

Dark Canyon Coffee

We now offer pickup service at our store. After entering your billing and account information, you can let us know a time that you plan to pick up your oder. We provide dates and times during working hours any time during the next two weeks. We need at least 45 minutes advanced notice, which is reflected in the delivery time options toward the bottom of this checkout page.

We appreciate your business and look forward to seeing you at our store located at 324 East Blvd, Suite 100 Rapid City, SD 57701.

Retailers please call 800-455-4187 for pricing and information.

Donation Request Form

Dark Canyon Coffee Request for Donation Form

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