Student Organization Fundraiser Application

                                                      Date: _________________

Name of Organization: _______________________________________________________

Your Name: __________________________________________ Phone: ________________

Fundraiser Date(s): ___________________________ Location (Table #): _________

Sale Item: __________________________________________________________________

Sale Price: __________________ Fundraiser Time (9am-3pm max): _______________

Complete the following section if your organization
is contracting with an outside vendor.

Outside Vendor will be charged a minimum fee of $10.00/day for
space rental in the building. Full payment is due from the
vendor prior to any fundraiser activity.

Percent of Sales/Dollar Amount Received by Student Organization: ____________
(Minimum suggested is $25.00/day or 15% of total
gross sales; whichever is greater)

Name of Outside Vendor: _____________________________________________________

Address of Outside Vendor: __________________________________________________

Outside Vendor Contact: _____________________________ Phone: ________________

(Your signature below indicates your agreement to
all policies as stated in the Student Organization
Fundraisers Procedure and Policies)

Signature of Vendor Contact: ____________________________ Date: _____________