Please fill in all the blanks to enable us to more effectively respond to request for a fundraiser at Drive & Shine. When you are finished, press the submit button to send the information to us. (note: The fields marked with "*" are required)
*Name of Organization
*Name of Contact Person
*Street Address
*City
*State
*Zip Code
*Phone
*Best time to call
*E-Mail Address
*Not-for-profit ID Number
*Describe purpose of Fundraiser:

Desired Dates of Fund Raising Program:	*Start * Finish

If you have any questions please call Drive & Shine at 574-277-8877