“Dine In Night” Fundraising Form

Dine In Night

If you would like to join Polly's Pies "Dine in Night" fundraising program, please fill out the form below
Required fields are marked with asterisks ( * )
Organization*
Contact Name*
*Check will be made out to the organization above unless otherwise noted.
Address check should be mailed to:
Address*
Street Address City State / Province / Region ZIP / Postal Code
Phone*
Email*

Flyer will be emailed to the above address.
Will you provide a logo via email for your flyer?
- Yes, we have a logo
- No, we don't have a logo Please create the flyer without our logo
Browse & Upload Logo
Accepted file types: jpg, gif, png, pdf, Max. file size: 20 MB.
The date we would like for our fundraiser is (must be Monday - Friday)
Date*
MM slash DD slash YYYY
Alternate Date 1*
MM slash DD slash YYYY
Alternate Date 2*
MM slash DD slash YYYY
Hidden
Hours
Date you need the flyer by*
MM slash DD slash YYYY
Location*
Choose time of day*
Our organization understands that we can distribute our fundraiser flyers via email or by hand to those in our organization, or to our family and friends but may not distribute flyers 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.
Browse & Upload your w-9 form
Accepted file types: jpg, gif, png, pdf, Max. file size: 20 MB.
We collect your name, organization, address, email, phone number, and ip address in order to respond to your fundraising inquiry according to our Privacy Policy.