Berkot's Grill It Forward Fundraising Application

Berkot's Grill It Forward Fundraising Application

Event Date Requested (Saturdays & Sundays / May-October)*

*Date selected must be a Saturday or Sunday between 5/9 and 10/27

WARNING: Date selected is invalid, and will be rejected. Please select a date between 5/9 and 10/27.

WARNING: Date selected is invalid, and will be rejected. Please select a date that falls on a Saturday or Sunday.

Preferred Store Location*

Select

Organization Name*

501 C3 or Non-Profit ID#*

Street Address*

City, State, and ZIP*

Contact Name*

Contact Phone #*

Phone

Email*

Day-of-Event Contact Name*

Day-of-Event Contact Phone #*

Phone

Description of Organization

*Organization is responsible for promoting the fundraising event to its members, family, and friends. Distribution of promotional flyers is not permitted on store grounds.

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