Quality Dining, Inc.

Thank you for considering one of our Quality Dining, Inc.® restaurants when planning your fundraising event. Every request we receive is given careful consideration. All requests must be submitted by completing the form below. We will not accept any donation requests via phone, fax, or email. Requests must be received a minimum of 30 days prior to the date of the event. Every line of the request form must be completed. Regrettably, not all requests will be fulfilled. If approved, the donation will be provided in the form of a 'Be Our Guest Certificate' valid for the amount and the restaurant concept shown on the certificate. Good luck with your fundraising event. This Donation Request form is not intended for cash, food, or product donations.
Please complete the following form:
I am requesting a donation from one of the following concepts:
Distance to concept selected from organization address:

Please fill out your organization's information.
Organization Name:
Street Address:
City:
State:
Zip:
Contact Name:
Phone Number:
Fax Number:
E-Mail Address:
Date of Event:
Name of Event:
Brief description of Event:
How will this donation be used?	Other:
What is your organization's primary mission?
Address where the Donation should be sent:
Organization Name:
Contact Name:
Street Address:
City:
State:
Zip: