Name: Jefferson’s
Address: 1405 Wakarusa Drive, Lawrence, KS, 66049, US
Telephone: 785-856-0286

Topeka Fundraiser Request Form

Topeka Fundraiser Request

Need to raise money for your organization? Host a fundraiser with Jefferson’s Topeka. We donate 20% of all event sales back to the host organization. Submit the form below to request your fundraiser today.

Spirit Night Date Preferred*
MM slash DD slash YYYY

Available all week from 4PM-9PM.
Organization Information
Organization*
Estimated Attendance*
Please enter a number from 0 to 250.
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Tax ID Number
Tax ID Form
Max. file size: 64 MB.
Organizer Information
Organizer Name*
First Last
Organizer Phone Number*
Organizer Email*
Name
This field is for validation purposes and should be left unchanged.

Topeka Fundraiser Request Form

Topeka Fundraiser Request

Organization Information

Organizer Information

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