Dine 'N Donate Application

We understand raising funds for your school and organizations can be time-consuming. Rusty Bucket Restaurant and Tavern takes the hassle out of planning and organizing fundraisers. You pick the date, we create the flyer and you print and distribute them to family and friends. On that chosen date, anyone who presents the flyer will have 15% of their net sales (food and soft beverages) donated to your organization. It’s that easy!
*During the month of March, Dine ‘n Donates are not able to be scheduled on Thursdays, due to March Madness. We appreciate your understanding.

Dine 'N Donate Application

Email(Required)

Phone Number(Required)

Rusty Bucket Location(Required)

Your First & Last Name(Required)

Dine ‘n Donate Day Requested(Required)

Monday

Tuesday

Wednesday

Thursday

Date Requested(Required)

Please note, Dine 'n Donate events are only offered on Monday, Tuesday, Wednesday or Thursday. *During the month of March, Dine 'n Donates are not able to be scheduled on Thursdays, due to March Madness. We appreciate your understanding.

What is the name of your organization, as it should appear on the promotional pdf flyer we will create for you?(Required)

Organization Logo

Max. file size: 50 MB.

W-9 Tax. I.D. Form(Required)

Max. file size: 50 MB.

Where is your organization located and what address should we mail your donation check to?(Required)

Please specify what type of group you are.(Required)

What is the mission of your organization?(Required)

How will your organization utilize the funds raised on your Dine 'n Donate day?(Required)

How will you promote your Dine 'n Donate day?(Required)

What are your expectations and goals for this fundraiser?(Required)

Have you had a Dine 'n Donate day at Rusty Bucket before?(Required)

Yes

Have you reviewed the Dine 'n Donate Program Guidelines and Successful Event Tips?(Required)

Yes

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View Dine 'n Donate Guidelines and Successful Event Tips

Questions? Contact Samantha Lehner: slehner@myrustybucket.com

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