FUNDRAISING

Polly's Pies "Dine in Night" Fundraising Request Form

If you would like to join Polly's Pies "Dine in Night" fundraising program, please fill out the form below, or click here to download a PDF form that you can fax in to us.

Required fields are marked with red asterisks( * )

Organization*:
Contact Name*:

*Check will be made out to the organization above unless otherwise noted.

Address check should be mailed to:

Street*:

City*, State*, Zip*:

Phone*:

Fax:

Email Address*:

Flyer will be emailed to this address.

Will you provide a logo via email for your flyer?*

Yes, we have a logo we want to provide for our flyer. (Please email to fundraising@pollyspies.com)

No, please design a flyer without our logo.

The date we would like for our fundraiser is*:
(Must be a Monday, Tuesday or Wednesday)

Alternate date 1: Alternate date 2:

From the hours of:

Date you need your flyer by:

The Polly’s Pies location for fundraiser*:

Our organization understands that we can distribute our fundraiser fliers via email or by hand to those in our organization, family and friends but may not distribute fliers at Polly's Pies (including the parking lot) at any time including the day of our event. If this is done our fundraiser agreement will be null and void.