Donation Request

Let us know about an emergency or healthcare organization in your neighborhood that could use some 5-hour ENERGY® shots

See our Terms & Conditions for more information.

About the Organization

All fields required.

In order for us to consider your request, an organization contact must be provided.

Donation Request

Request a donation of 5-hour ENERGY® shots to a location that employs emergency and health care personnel.
  • ORGANIZATION INFORMATION

  • YOUR INFORMATION

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