Organization Contact Information

Organization Name:

Contact Person First Name: Contact Person Last Name:

Contact Person Phone Number - Area Code: Phone:

Contact Person E-mail:

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

Name of Clover's Representative:

Choose the date and location of your 2011 fundraiser

Note: Choose your fundraising location and date based on the store location's seasonal availability.

NOTE:

With each of 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 your fundraising flyer each time to record their purchase(see custom flyer builder).

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.

By pressing the submit button below, I certify that my answers are true and complete to the best of my knowledge. I authorize investigation of all statements contained herein.