Fundraising Organization Registration Application

Complete the following form, and submit it by e-mail attachment to: contact@CloversGardenCenter.comor fax it to: (312) 284-5575

We will then contact you to confirm your fundraising event.

Organization name:

Contact Person:

Contact Person Phone #:

Contact Person E-mail:

Complete Name & Address funds raised check should be mailed to:

Contact’s Signature:

Name of Clover's Representative:

Dates of Fundraiser: November 27, 2009 - December 20, 2009

Note: You may choose either fundraiser location.

Select Location of Fundraiser (check one):

__Westmont

__Willowbrook

NOTE:

With each or your group’s purchases (we sell gift certificates, too), during the above designated dates, your organization will receive 10% of your pre-tax totals, sent to the name and address you listed above 2 weeks after the fundraising event has been held.

This is not a 10% discount for your supporter’s purchases – but it is the percent of the sale we will give to your organization.

Example: Gracie Gardener purchase = $210.58 ($194.78 before taxes), your organization earns $19.48 for that sale.

Visit and shop as many times as you would like – making sure your supporters present a copy of the fundraising flyer each time to record their purchase(customized for your organization).

We request your cooperation in respecting our customers, by not soliciting them in the general vicinity of the location of the fundraiser site listed above.

Office use only:
date rec’d:                    date confirmed:                    confirmed by:                   confirmed with: