Fundraiser Requests

To process your organization’s request for a fundraiser, please complete the request form at least four (4) weeks prior to your event. NO EXCEPTIONS. Organizations making a request must be a school or non-profit organization and supply a tax exempt letter and number with your application. Fax your tax exempt letter to (630) 241-2300. Please forward only one request per event. Additional event dates require additional requests.


Event Information

Event Benefits:
Date of Event: (mm/dd/yyyy) Time of event:

Must be submitted four weeks prior to your event date
Event Location:
How did you hear about our fundraising program:

Business Information

Name of Organization: Address:
City: State: Zip Code:
  
Tax Identification Number:

**Please fax a copy of your non-profit tax exempt identification letter to 630-241-2300**

Primary Contact Information

Name: Relation to Organization:


Phone: Cell Phone:
Fax: E-Mail:
Remarks: (200 Characters)

If you would like to receive a copy of this information in your E-Mail, Please check the box below and enter your email address.



Please provide all information or your request will not be processed.
Thank you for considering Panera Bread® for your organization’s fundraising needs.