Fundraiser Application Form

Popcorn Fundraiser Application Form

Organization Information

Name

Address

City

Zip

Shipping Address

City

Zip

Name

Phone Number

Fundraiser Information

Start Date

End Date

NOTICE: We ask 10 business days from your target end date to complete your order.

Size

Target $

Shipping *How would you prefer to receive your order?

Pick-up in Store - FREE (157 N. 4th Street, Steubenville, OH 43952)
SPC Deliver - $20 (Only available w/in 10 mi.)
Ship - charges calculated at time of shipping

Message The Steubenville Popcorn Co. Fundraising program is reserved for tax exempt non-profit organizations. We are required to confirm your tax-exempt status and can extend these program advantages only to organizations that meet the educational, medical, cultural, and humanitarian goals of a non-profit agency.

Name

Tax Number

Special *Will you be taking advantage of the Fundraising Special? (one per fundraiser)

Yes!
No

Popcorn Line *Which line of popcorn will you fundraise with?

Steubenville
Christian
Ohio
U.S.