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.