NEW YORK PIZZA DEPT.
DOUGH RAISER PARTICIPATON FORM

Dough Raisers helps your organization raise money. How it works is your organization picks a date Monday-Wednesday and a NYPD location. We supply your organization with flyers to pass out to friends and family. Anyone who visits the specified location on the selected date that presents the flyer 20% of the checks proceeds will be given to your organization (excluding any alcohol and not in combination with any coupons). The more guests that come in with your flyer for that day the more money goes to your organization.

The following information must be completed in order to process and schedule your event.

Store location I would like to host a Dough Raiser at:

Requested Date of Event**: (1st choice)

Day Year

Requested Date of Event**: (2nd choice)

Day Year

** Mon-Wed ONLY

Benefiting Organization:

Organization Information

Name:

Address:	City:	State:	Zip Code:

Contact Name & Title:

Phone Number:	Fax Number:

Best Time to Call:	Email Address:

Mailing Address of Check: (if other than above)
Name:

Address:	City:	State:	Zip Code:

Contact Name & Title:

NOTE: New York Pizza Dept. reserves the right of approval of this proposal. This fundraiser may be terminated and/or cancelled by either party at any time up to 24 hours prior to the day of the event. No guarantees or warranties of any kind are made by either party as to the success of the event. It is the responsibility of the organization representative to maintain the integrity and promotion of the even and ensure that regular New York Pizza Dept. guests are not solicited to participate in the fundraiser. Any deviation could result in the suspension of this event and future events for the organization.

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NEW YORK PIZZA DEPT.DOUGH RAISER PARTICIPATON FORM

NEW YORK PIZZA DEPT.
DOUGH RAISER PARTICIPATON FORM