Two Great Tastes. One Great Place.   Long John Silver's
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Community Donation Requests

Thank you for your interest in Long John Silver's!

We believe in giving back to our communities through charitable donations whenever possible.

To assist us in processing donation requests in a timely manner, please:

  • Complete this form
  • Submit the completed form via the internet
  • Allow 7 working days for a response and 7 working days to process the donation item if approved

    • Organization Name 

    Contact Name [First Name, Last Name] 

    Day Phone Number 

    Fax Number 

    Contact Mailing Address: 

    City  State  Zip Code 

    Email Address 

    Event Name 

    Event Purpose/Description 

    Event Date 

    Event Time 

    Event Location 

    Number of Adult Participants 

    Number of Children Participants 

    Donation Options:
    We offer three donation options, depending upon the needs of the organization and type of event.
    Please select one donation option that best meets the need of your organization.

    Door Prizes

    Paper Product

    Auction Item

    Please type your comments in the box provided below:

    Would you like us to contact you? (We will contact you by email unless otherwise indicated)

    Please provide a contact number for us to reach you:

         

    LJS Fish Icon 2 Fish & 3 Chicken Planks Platter 2 Fish & 8 Shrimps Platter Crunchy Chicken Salad 16 Piece Family Meal Family Size Corn

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