Kroger Cares Fundraising Program Form printable pdf download

Kroger Cares Fundraising Program Form

Name of organization:

________________________________________________________________

Address:

________________________________________________________________________________

__________________________________________________________________________________________

Requirements:

Please write a brief description about your goals for fundraising.

__________________________________________________________________________________________

Membership size:

__________________________________________

Please list the name of the contact person AND any alternate members who are

approved to place gift card orders.

1st Contact Name:

__________________________________ Phone # (

) ________________________

1st Alternate Name:

________________________________ Phone # (

) ________________________

2nd Alternate Name:

________________________________ Phone # (

) ________________________

Email address:

______________________________________________

Employer Identification Number:

__________________________

Please “x” _____ I understand that the Kroger Fundraising Program extends only to your members or to

the Gift Card purchase made by non-profit organization. Solicitation to or on behalf of their companies or

for-profit organizations/business for resale of Kroger Gift Cards outside your non-profit organization is not

permissible and will be considered a direct violation of the program, resulting in immediate disqualification.

Kroger Cares Fundraising Program Form