Express Interest Form

Name *

First Name

Last Name

Phone Number *

(###)

###

####

Is your organization/school located within the city of Austin? *

Yes

No

Check all that apply. Which program would you like to request participation in? *

Chilled Nugget Tray Fundraiser

Community Care Event

After pressing submit below, our team will review and process your request and follow up with you via email within 10 business days from the time of your request. Please double check that the contact information you have provided above is correct before submitting your request. At this time, we will not be taking requests in store or over the phone. Our team will be happy to answer any questions you have when they follow up with your request. As a reminder, requesting participation in any of our fundraising programs is not a guarantee that participation will be accepted. Our desire is to support as many schools/organizations as possible within South Austin and AISD, however we can't accommodate everyone. *

I have read and understand the statement above.

I understand and agree.