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Pizza With A Purpose Form
Organization Name
*
School Associated With (If Applicable)
Name of Primary Contact
*
Contact Address (If PO, please provide Street Address)
*
Street Address
Address Line 2
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Phone Number
*
Email Address
*
Brief Description of Organization
*
How do you plan to use the funds?
*
Number of Members
*
Tax Exempt Number (please atttach copy)
Tax Exempt Copy
Are you purchasing certificates before selling or pre-selling them?
*
Purchasing before selling
Selling before purchasing
Number of certificates purchasing
*
Town where you plan to sell
*
Where did you hear about this program?
*
Please Select -
Monical's Pizza Restaurant
Website/Internet
Flyer/Promotion
Friend
Other
*
Please list the Monical's location
*
Please indicate where you heard about this program.
Confirm Rules
*
The information on this agreement is complete to the best of my knowledge.
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