Fundraiser Form
A Bushel and a Peck MN Fundraiser Form
*Please fill out this form and email it back to contact@abushelandapeckmn.com*
All submitted inquiries about a Fundraiser will be taken into consideration. We love giving back to the community and helping out organizations that hold a special place in our heart. A Bushel and a Peck does have the right to deny your request.
Date: ____________
Name of organization or event requesting a fundraiser:
____________________________________________________________
Address: __________________________________________________
City: ________________State: _____________ ZIP: ______________________
Phone: (__)______________________
Name of Person making request:
____________________________________________________
Contact number if different from above:
(__)___________________________________________
Indicate the purpose for which the Fundraiser :
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
Date of occasion: __________________ Deadline: ________________
Has this organization had previous donations or fundraiser events from our company this year?
YES NO
Are you a customer of A Bushel and a Peck Boutique? ____________
Approximate date of the most recent purchase? __________
Additional Comments:
____________________________________________________________________________
____________________________________________________________________________
Thank you for your application.