Community Benefit Night
Application
Organization Name
___________________________________________________
Organization Address
_________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
Contact Person
_______________________________________________________
Phone _______________________________________________________________
Fax
_________________________________________________________________
E-mail
_______________________________________________________________
Brief Description of
Organization’s
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
Restaurant you would
like to host your fundraiser
ڤBristol ڤLondonderry ڤLaconia ڤManchester ڤLincoln
If you have any
questions about Community Benefit Night please contact Michael McDonough at
603-744-5208.
Fax application to
(603) 744-3603 or leave with a manager