Dine and Donate Form
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"Tuesday’s are PJ’s Half-Price Wing Night therefore we are not able to offer Dine & Donates on Tuesdays”
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Organization Info
Please fill out any missing organization information below.
If you know the Tax ID it will speed up the processing and verification of your request.
(Providing a contact at the organization will speed up the processing of your request.)
Requester Primary Contact Information
(this will be in the email used to communicate the status of the request moving forward. please verify the email)
Donation Request Form

Please provide information about the cause that would benefit from the Dine and Donate.
What are your preferred date(s) for a Dine and Donate?
Which P.J.W. Restaurant Group location is most appropriate for this request?*
Please include me on your mailing list*

Confirmation

Please enter the contact name of the person at this organization who requested you to submit your request. Leave blank if no one referred you.
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Please attach the following documents:
Certified 501(c)(3) document (Not Tax-Exempt form)

• Documents that describe your event or organization, or other related document.

• (Click on Browse button to attach multiple documents. Files will be uploaded when you click submit. A maximum of three attachments will be saved. Attachments must be in one (1) of the following formats: Pdf, doc, docx, xls, xlsx. Limit the file size to less than 4MB.)

(Click on Select button to attach multiple documents. The files should be selected from a folder on your computer. The files will be listed under the attachment box. Files will be uploaded when you click submit. Attachments must be in one (1) of the following formats: Pdf, doc, docx, xls, xlsx. Limit the file size to less than 10MB.)

 
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Please click the Submit Form button only once, to avoid multiple transactions/donation requests.
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A DonationXchange account will be created and provided in the confirmation email for tracking purposes.

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