MY FUNDRAISER REQUEST Organization Name * (To appear on flyer) Event Date (Monday, Tuesday or Wednesday) * *Date (M/T/W) you would like to request MM DD YYYY How did you hear about Taco/Social Fundraisers? * Event Start Time Request * (3hr event recommended) Hour Minute Second AM PM Event End Time Request * (3hr event recommended) Hour Minute Second AM PM Organization Description * Number of Attendees * Contact Name * Contact Email * Contact Phone Number * Organization Name * Organization Address * (For check payment) Address 1 Address 2 City State/Province Zip/Postal Code Country Charity 501(c)(3) Number Thank you!