Fundraiser Request Form

Fundraiser or Donation*

Organization *

Street Address *

City *

State *

Zip Code *

Phone Number *

Email *

Contact Number *

Preferred Fundraiser Program *

Work at Wiggy’s for a day

Sell prepaid passes

Silent Auctions and Raffles

Second Choice Fundraiser Program

Work at Wiggy’s for a day

Sell prepaid passes

Silent Auctions and Raffles

Dates requested for fundraiser*

Reason for donation*