Fundraiser Application

APPLICATION INSTRUCTIONS

Please fill out the application completely. However, if your organization does not have a Federal Tax ID#, you can leave it blank. The organization contact (as indicated on your application) must be a member of the organization that is authorized to organize the fundraiser.

ORGANIZATION INFO (The organization holding the fundraiser)

Organization Name *

Organization Address *

Address Line 1

Address Line 2

City

State

Zip Code

Organization Phone *

Organization Email *

Organization Website *

Federal Tax ID (or TIN/EIN) *

Type of Organization *

CONTACT INFO (Person in charge of, or responsible for, your fundraiser)

Contact Name *

Contact Title *

Contact Phone *

Contact Email *

FUNDRAISER INFO

Proposed Location of Fundraiser *

Proposed Date of Fundraiser *

Purpose of Fundraiser *

AUTHORIZATION

I certify that I am an authorized representative of the organization and that I understand and agree to the terms above:

Your Name *

Today's Date *

For more information, please contact fundraisers@richmansicecream.com