Mr. D’s Fundraiser Application
Please fill out the following details to schedule your fundraiser.
Full Name of Organizer
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Name of Organization
*
Organization Type
*
Please Select
School
PTA / PTO
Sports Team
Church or Religious Group
Nonprofit or Charity
Other
How will you promote your fundraiser?
Email newsletter
Social media
Flyers
Word of mouth
School announcements
Other
Is your group a registered 501(c)(3) nonprofit?
*
Yes
No
Preferred Mr. D’s Location
*
Please Select
Placentia – Mr. D’s Diner, Bakery & Bar
La Verne – Mr. D’s Diner
Preferred Date of Fundraiser
*
-
Month
-
Day
Year
Date
Preferred Time Range
Hour Minutes
AM
PM
AM/PM Option
Until
until
Hour Minutes
AM
PM
AM/PM Option
Estimated Number of Supporters Attending
*
Is there anything else we should know?
Submit
Should be Empty: