Krispy Kreme Application Form

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Application Form
Qualifying Requirements
Krispy Kreme FUNdraising programs and pricing structures are designed to assist nonprofit organizations and groups. The
pricing structure reflects Krispy Kreme’s commitment to helping our community and is not designed to provide wholesale
pricing to individuals or groups using our product for personal or corporate profit. In order to receive fundraising
pricing, an organization must qualify as a nonprofit organization as defined in one of the following ways:
• Educational … funds are being used to support a school or school related organization (i.e. band, club, student or parent group
associated with a school or educational institution.)
• Religious … funds are being used to support a non-profit church activities or church related organizations such as youth groups
within the church.
• Charitable … funds are being used to support a charitable organization or benevolent cause.
• Community … funds are being used to support a community based activities devoted exclusively to charitable, educational, or
recreational purposes and not for individual gain.
Complete information below and submit to Krispy Kreme FUNdraising Headquarters via fax at (401) 946-9719 or mail
to P.O. Box 8819, Cranston, R.I. 02920. All applications must be approved prior to beginning your FUNdraising sale.
Organization Information
Organization Name: __________________________________________________________________________
Organization Address: ________________________________________________________________________
City: ___________________________________________ State: ________________ Zip: _________________
Home/Office # (circle one): ____________________________________ Fax #: __________________________
Purpose of FUNdraiser: _______________________________________________________________________
___________________________________________________________________________________________
Organization Federal Tax ID #: _________________________________________________________________
Contact Name/Phone: __________________________________________ Affiliation: _____________________
Proposed Date of FUNdraiser: __________________________ Number of People Involved in Sale: __________
All orders must be called in at least 5 days in advance. The organization will sell or deliver the doughnuts within 12
hours of picking up their order. Orders not picked up within an hour of scheduled time will be considered a no show.
Credit card information is required for this reservation. I understand that payment in full is required at time of pick up. All
cancellations must be received 48 hours in advance if not I authorize Krispy Kreme to charge the total price. There is no
refund for lost, stolen, or unsold products. All pricing is subject to change without notice. All applications and orders are
subject to approval by the FUNdraising headquarters. Acceptable forms of payment include Cash, Money Order, Certified
Check, Credit Card or Debit Card. NOTE: Personal and Organization checks are not accepted unless they are certified.
I certify that I represent the above named organization and proceeds from the sale of Krispy Kreme FUNdraising products
purchased by this organization will be used for the purpose stated above and not for individual gain or profit and I have read
the above terms and conditions.
Signature: __________________________________________________________ Date: ___________________________
Comments (Krispy Kreme Use Only)

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