Fundraiser Registration Request

Your fundraiser is only considered approved when you receive an email confirmation of your event date and customized Sharky’s Fundraising Flyer. Please fill out the following:

Organization name:
Contact name:
Contact phone number:
Contact email address:
Organization's web address:
Approximate number of guests you expect:
Select a location:	Aliso Viejo Beverly Hills Burbank Calabasas Hollywood Irvine Long Beach National City Newbury Park Newport Beach Palmdale Pasadena Sherman Oaks Simi Valley Tarzana Toluca Lake Tukwila (WA) Tustin Ventura Westlake Village Woodland Hills
Desired Fundraiser:	Guacamole Smash Fin-Tastic Fundraiser
Desired event date:	Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec   12345678910111213141516171819202122232425262728293031   2011 2012 2013 2014 2015 2016 2017 2018 2019
Taxpayer ID number:
Payee name:
Mailing address for Fundraiser check:
How did you hear about Sharky’s Fundraisers?:
Please enter the security code: