Dine and Shop Business Registration Form

Register Your Business for Dine & Shop

Please provide all required details to support classroom innovation in Medford Township Schools
Business Manager or Owner *

First Name Last Name
Business Name *
Contact Number *
E-mail *
example@example.com
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Type of Business *
Others *
How would you like to participate on Thurs., Nov 18th (check all that apply)

Donate a percentage of sales (10% suggested) to MEF Donate a flat dollar amount to MEF Offer a gift card special and donate a certain amount of $ for each gift card sold Other
Message
Please check off each item below as you read it.

I agree to have my business participate in the 2021 MEF Dine and Shop Fundraiser and will donate a portion of my proceeds from Nov. 18, 2021 to the MEF. I am aware the the MEF is a non profit, 501 (c) 3 organization and my donation is tax deductible. Tax ID 30-0206095 I will mail my donation to the MEF by December 1, 2021 or contact MEF representative @ 609-975-9614 to pick up my check. Mailing Address for checks: Medford Education Foundation, PO Box 71 Medford NJ 08055
Please check off each item below as you read it.

I agree to have my business participate in the 2021 MEF Dine and Shop Fundraiser and will donate a portion of my proceeds from Nov. 18, 2021 to the MEF I am aware the the MEF is a non profit, 501 (c) 3 organization and my donation is tax deductible. Tax ID 30-0206095 I will mail my donation to the MEF by December 1, 2021 or contact MEF representative @ 609-975-9614 to pick up my check. Mailing Address for checks: Medford Education Foundation, PO Box 71 Medford NJ 08055
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Register Your Business for Dine & Shop