QSL Fundraiser Request

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Fundraiser Request Form for QSL

Please Note: (*) indicates a required field.
Organization Name(*)
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Address 1(*)
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Address 2
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City(*)
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State(*)
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ZIP Code(*)
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Tax ID Number (if applicable)
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Contact First Name(*)
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Last Name(*)
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Email Address(*)
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Phone Number(*)
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Locaton(*)
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Because we assist and partner with so many different organizations in
our community we have to ask everyone to allow us six weeks lead time
to carefully review and fulfill approved requests.
Desired Event Date(*)

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If your event date is earlier than our six week lead time, we’re very sorry we
are unable to participate. We ask that you be certain to think of us
earlier when planning your next fundraising event.
Start time of event(*)
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End time of event(*)
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Approximate Number of Guests attending(*)
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What kind of fundraiser do you have in mind?(*)
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Tell us about your organization.(*)
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Please Add me to Promotional Emails!
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We promise to not sell, rent or distribute your information. By Leaving this check box checked, you are providing your written consent and agreement to receive text messages and email from Quaker Steak & Lube® , represent you have the authority to provide the information submitted in this form, and you are eighteen (18) years or older. Your consent to receive messages is not required for you to make purchases from Quaker Steak & Lube®. You may opt-out from receiving texts or emails from us at anytime through the “Contact Us” form on our website or through the procedures provided in each communication. Standard carrier text messaging charges may apply.

Security(*)
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Please Note: If your form does not submit please scroll up and be sure you entered valid information in all required fields.

pickup date
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