Pegah's Fundraiser Event Form
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Name of School, Church, or Organization
*
Pegah's Location
*
Please Select
Johnson Drive & Nieman
K7 Hwy & Roberts St
87th & Quivira
Route 291 - Lee's Summit
Pegah's Cafe - Martin City
Date of Fundraising Event
*
-
Month
-
Day
Year
Date
Expected Number of Guests (Ex: 25-30)
*
Time / Hours of Fundraising Event - When to When (Ex: 5 pm to 8 pm)
*
Address Pegah's can mail Donation Check to
*
Donation Check Made Payable to
*
Submit
Should be Empty: