Fundraiser Registration Request Form

Your fundraiser is only considered approved when you receive an email confirmation of your event date and customized fundraising flyer. Please fill out the following to register your request for a fundraiser event.

Organization Name*

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Organization's Website

Please provide the Organization's Website address in a valid URL format

Contact Person's First Name*

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Contact Person's Last Name*

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Phone Number*

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Contact Email Address*

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Date of Desired for the Event (i.e. mm-dd-yyyy)*

Please make sure you have entered a valid date.

Approximate Number of Guests Expected

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Select a location*

Please select a Marmalade Cafe location from the drop-down.

Taxpayer ID*

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Payee Name*

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Street Address*

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City

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State*

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Zip Code

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How did you hear about our Fundraisers?

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Please use the submit button to complete your request.

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Fundraiser Registration Request Form