Dunkin Test Page Dunkin' Supplies Request Department Contact InformationPlease utilize the below form to request supplies for your Dunkin’ Donuts Cop on Rooftop event. Departments hosting at multiple locations should only submit one request. This form must be submitted by April 30 to ensure that we are able to provide you with the requested supplies. If you have any questions, please call 1-800-394-0562.Department Name*Coordinating Officer* First Last Cooordinating Officer Email* Coordinating Officer Cell*Mailing Address*(all supplies will be shipped to this location) Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Torch Run Leg #*Click here to selectDon't Know1234567891011121314151617181920212223Final LegCop on Rooftop Event InformationPlease provide us with the Dunkin’ Donuts location you will be hosting your event at.Dunkin' Donuts Address* Street Address Address Line 2 City Location Fundraising Goal*Are you hosting multiple locations?*YesNoDunkin' Donuts Location 2 Address* Street Address Address Line 2 City Dunkin' Donuts Location 3 Address (if applicable) Street Address Address Line 2 City Dunkin' Donuts Location 4 Address (if applicable) Street Address Address Line 2 City Dunkin' Donuts Location 5 Address (if applicable) Street Address Address Line 2 City Event NeedsDo you have a Cop on Rooftop banner from last year for each location?*YesNoHow many banners do you need? (max 1 per location)*Please enter a value greater than or equal to 1.Do you have mugs remaining from last year?*YesNoHow many mugs do you have left?*Please enter a value greater than or equal to 1.How many additional mugs would you like for this year's event?*(1 case = 24 mugs) ***The number of mugs allowed will be based on the number of participating locations.***Select quantityNone1/2 Case1 Case2 Cases3 Cases4 Cases5 Cases6 Cases**Total number of mugs sent per location is subject to change based off of available quantities. ** Do you need to order 2018 Torch Run merchandise to have at your event?*YesNoMerchandise NeedsT-Shirts Please enter the total number of t-shirts by size you would like to order below. Please request a maximum of 10 t-shirts per size, per location.SmallMediumLargeX-Large2X-Large3X-LargeTorch Run Lapel PinsHarley-Davidson Raffle Tickets(sold for $10 each)Harley-Davidson Raffle PostersSelect QuantityNone5101525UTV Raffle Tickets(sold for $10 each)UTV Raffle PostersSelect QuantityNone5101525Torch Run BrochuresSelect QuantityNone2550100Torch Run PostersSelect QuantityNone5101525Athlete ParticipationWould you like assistance in identifying a Special Olympics athlete to participate at your location?*YesNoIf you will be reaching out to an athlete on your own, please enter their name below.