"Making Species Specific Diets for Decades!"

Donation Request Form

Please email a Microsoft Excel (.xlsx), Comma Separated Values (.csv) or PDF roster with the name and emails of your club members to fish@hikariusa after completing the form.

Each year, we receive an increasing number of donation requests from Aquarium Societies, Koi and Pond Events, and various clubs from all over the United States. To help us decide whether to consider your group or event, we ask for a single member to complete the background information listed below.

A donation address is required for shipments and deliveries, please provide a business address when possible. Groups that do not return a complete form will not receive consideration. Requests will be reviewed and contacted via email.

If you have any questions, please contact our customer service team at fish@hikariusa.com for more information.

Information about the Group

Club or Society Name required

Current President required

Current Secretary required

Contact Email required

Contact Phone required

Address Line 1 required

Address Line 2

City required

State required

Zip required

Total Number of Club Members required

Frequency of Meetings Per Year required

Total Number that Attended Most Recent Meeting required

Total New Members in Last Year required

Total New Members in Prior Year required

Would your club or society like to be added to our email listing?

Donation Information:

Donation Name required

What event will the donation will be used for? required

Any other information that would be helpful for us to know?

Event Information:

Most Recent Major Event required

Event Date required

Event Location required

Total Number of Attendees required

Paid required

Non-Paid required

Normal Attendance W/O Your Show required

Total Number of Exhibitors required

Dry Exhibitors required

Wet Exhibitors required

Total Number of Tanks

Total Number of Entries

Total Number of Fish Entered

Prove you're human! What is 6 + 4? required

Today's Date required

Please email a Microsoft Excel (.xlsx), Comma Separated Values (.csv) or PDF roster with the name and emails of your club members to fish@hikariusa after completing the form. Click Here to read Hikari^® USA's Privacy Policy.