Qdoba Donation Application Page 2
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3Donation Application
Your complete application must be sent electronically to 12
weeks in advance of your event date in order to be considered. All applications are
reviewed on a first-‐‑ c ome-‐‑ f irst serve basis.
Please read all guidelines on page 2 of this application before submission.
Today’s Date: _______________________________ Event Date: ____________________________
Organization: _______________________________ 501-‐‑ C (3) Number: ________________________
Address (of store): _____________________________________________________________________
Contact: __________________________________ Title: _______________________________________
Phone: ____________________________________Alternate Phone: ____________________________
Email: ____________________________________ Fax: _______________________________________
Description of event:___________________________________________________________________
______________________________________________________________________________________
Requesting: Entrée Card(s): _______________________ How Many?:__________________________
How will your organization promote the Local Partnership to your members/supporters and to
the public? Email blast, signs, web pages, etc. _____________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
How will Qdoba be acknowledged for this donation? ______________________________________
______________________________________________________________________________________
______________________________________________________________________________________
Please email this completed application along with an IRS 501-‐‑C (3) determination letter, and
any relevant information to in order to ensure that it is received.
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Parent category: Business