Krispy Kreme Application Form

pricing, an organization must qualify as a nonprofit organization as defined in one of the following ways:

• Educational … funds are being used to support a school or school related organization (i.e. band, club, student or parent group

associated with a school or educational institution.)

• Religious … funds are being used to support a non-profit church activities or church related organizations such as youth groups

within the church. • Charitable … funds are being used to support a charitable organization or benevolent cause.

• Community … funds are being used to support a community based activities devoted exclusively to charitable, educational, or

recreational purposes and not for individual gain.

Complete information below and submit to Krispy Kreme FUNdraising Headquarters via fax at (401) 946-9719 or mail

to P.O. Box 8819, Cranston, R.I. 02920. All applications must be approved prior to beginning your FUNdraising sale.

Organization Information Organization Name: __________________________________________________________________________ Organization Address: ________________________________________________________________________ City: ___________________________________________ State: ________________ Zip: _________________ Home/Office # (circle one): ____________________________________ Fax #: __________________________ Purpose of FUNdraiser: _______________________________________________________________________ ___________________________________________________________________________________________ Organization Federal Tax ID #: _________________________________________________________________ Contact Name/Phone: __________________________________________ Affiliation: _____________________

Proposed Date of FUNdraiser: __________________________ Number of People Involved in Sale: __________

All orders must be called in at least 5 days in advance. The organization will sell or deliver the doughnuts within 12

hours of picking up their order. Orders not picked up within an hour of scheduled time will be considered a no show.

Credit card information is required for this reservation. I understand that payment in full is required at time of pick up. All

cancellations must be received 48 hours in advance if not I authorize Krispy Kreme to charge the total price. There is no

refund for lost, stolen, or unsold products. All pricing is subject to change without notice. All applications and orders are

subject to approval by the FUNdraising headquarters. Acceptable forms of payment include Cash, Money Order, Certified

Check, Credit Card or Debit Card. NOTE: Personal and Organization checks are not accepted unless they are certified.

I certify that I represent the above named organization and proceeds from the sale of Krispy Kreme FUNdraising products

purchased by this organization will be used for the purpose stated above and not for individual gain or profit and I have read

the above terms and conditions.

Signature: __________________________________________________________ Date: ___________________________