Donation Request Form

From the beginning, we at Captain Lawrence Brewing Company have been dedicated to giving back to the community that has been so instrumental to our growth. Due to the nature of being a small business combined with the vast amount of requests that we receive, we must be selective in what we are able to donate. Below are the requirements that must be met in order to be considered for a donation.

  • Your group, organization or event must be located within the State of New York.
  • You must provide a current 501(c)(3) designation.
  • All requests must be made at least one month from the date of the event. Any request made with less than one month remaining before the event, may be declined.
  • We donate in a variety of ways; volunteering time, giving of beer or merchandise, or items for auction. At this time, we do not buy journal ads or pay for sponsorships.
  • A qualified applicant is limited to ONE donation within a 12 month period.
  • All donations must be picked up and dropped off at the brewery during tasting room hours. 444 Saw Mill River Road, Elmsford, NY 10523.
  • There is a $75 keg deposit as well as a $35 tap deposit that must be given at time of pick up. Once all kegs and tap are returned to the brewery the deposits will be returned. Deposits are accepted via CASH, VISA or MASTER CARD ONLY. All returns must be made a week after pick up date for deposit return.
  • We reserve the right to accept or deny any donation request.

What You Can Do

If your organization meets the above listed criteria, please complete the form below:

  • Beneficiary of event
  • 501(c)(3) designation number
  • Date of event
  • Location of event
  • Event details
  • Item/donation preference
  • Contact information including a phone number, email and point of contact

Your Name*

Your Email*

Your Daytime Telephone*

Drivers license number and state*

Driver's License Expiration Date*

Your Group*


501(c)(3) designation number*

Date of Event*

Time of Event*

Location of Event*

Number of People Attending*

Will there be any other alcohol served at the event?*
 Yes No

Pick Up Date and Time* (During tasting room hours only—Wed.–Fri. 4–8 p.m.; Sat. 12–6 p.m.; Sun. 12–5 p.m.)

Donation Preference*
 15.5 gallon keg (165 12oz servings) 5.16 gallon keg (55 12oz servings) Tap Needed 12oz bottle cases (24 btls/case) Gift Bag

There is a $75 keg deposit and $35 tap deposit at time of pick up. Deposits will be returned when all kegs and taps are returned. All kegs/taps must be returned no later than a week after the pick up date for deposit return. CASH, VISA, American Express, MasterCard, or Discover are accepted for deposits.

Event Details* (the more detail, the better)

Enter the above code in the field below

Please note: this form is a request/application for donation and until you receive paperwork from us, it has not been approved. Captain Lawrence Brewing Company reserves the right to deny donation requests.