Nominate a Charity

AES Restaurant Nomination Form

* Indicates required field

Restaurant # *

Restaurant Name *

Nominator Name *

First

Last

Nominator Email *

Name of Charity *

Charity Contact Person *

Charity Phone Number *

Charity Email *

What is the charity's mission? *

Why is the charity important to you? *

Please provide Charity's W-9. The nominee must provide a W-9 for consideration. *

Max file size: 20MB

Submit