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Form for restaurants and beverage partners to commit to participating in the event.
Food & Beverage Partnership Form
Please submit this form by July 15th to help us plan for the event. This form must be completed to receive proper recognition. Thank you for your participation!
Restaurant/Beverage Partner Name:
(Required)
First Name:
(Required)
Last Name:
(Required)
Address
(Required)
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Email
(Required)
Phone
(Required)
Serving:
Food
Beverage
Both
Company Logo
File
Max. file size: 80 MB.
Auction Item Donation
Help us raise funds for pediatric cancer research by donating an item or experience to our auction. Private chef's dinners, tasting experiences or gift cards always do well with our guests.
I would like to donate a to the auction:
(Required)
Yes
No
Item/Experience Description:
Please provide any specific restrictions or special instructions.
Estimated Fair Market Value:
Signature
(Required)
Date
MM slash DD slash YYYY
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