Please use the form below to request a refund for a donation made to the Regional Food Bank at a recent event. If you have questions about this form, or if you should be using it, please email our marketing department at

On what date did you make your donation?
MM slash DD slash YYYY
What was the location of the event and what was the event at which you made your donation?
Cardholder Name(Required)
Billing Address(Required)
What is the amount that you donated that you'd like us to refund?