Evergreen Legacy Fund Agreement
Mailing Address (street address or PO box, city, state zip)
Physical Address (street address, city, state, zip)
I would like to be a
1% MEMBER, adding 1% to my sales receipts, payable by the customer
CONTRIBUTING MEMBER, making a regular donation directly from my business
INDIVIDUAL DONOR, making a one-time donation or a repeating donation
My preference is to set up a payment schedule
Please see your Evergreen Legacy Fund program packet for your REQUIRED two signs.
I would like
A fact sheet for employees
Direct deposit information
Cash register/IT assistance
Please tell us why you feel it is important to be a member of the Evergreen Legacy Fund. NOTE: We may use this quote for promotions as well as post it on our website and include in other media materials.
TERMS (please read and check all boxes)
I agree to remit funds no later than 30 days after the month, quarter, or year has finished.
I agree to openly advertise my business participating in the Evergreen Legacy Fund Program so that customers and/or clients are aware to choose not to participate.
I will post a sign in at least two of the following locations: window, door, cash register, menu, other.
I acknowledge that I am acting as a trustee on behalf of the Evergreen Legacy Fund and that I have an obligation to remit the funds collected according to the payment schedule selected above.
If my payment lapses six months or more, my business will be taken off the program until full payment has been made. Once I have made payments, I will be placed back on the program.
I agree that, should this business change hands, or if I no longer wish to participate in the program, I must submnit written notice regarding the termination of this agreement to the Evergreen Legacy Fund.
SIGNATURE (type name and date)
Should be Empty:
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