Jax Kar Wash APPLICATION FOR CHARITY CAR WASH SALES FOR FUNDRAISING (DO NOT use this form for donation requests, such as raffles or auctions) Organization Name: _________________________________________________________ Contact Name: ______________________________________________________________ Phone Number: _________________________cell: __________________________ Email Address: _________________________________________________________ Non‐Profit Tax ID Number: ______________________________________________ Prices & Profits Our Full‐Service certificates retail for $13.99, and the cost to your organization is $8.00. That's a profit of $5.99 each. Our Exterior certificates retail for $4.99, and the cost to your organization is $3.50. That's a profit of $1.49 each. Rules • Car wash certificates may not be discounted below the current retail price. • Certificates may not be sold on or near the premises of Jax Kar Wash. Desired Quantity of Wash Passes (must be a minimum of 500 total): Full‐Serve: ______ Exterior: _______ Total: _______ (Refund will be given for unsold certificates) Please describe how and when your fundraiser will be promoted: (Art Work using Jax logo or name must be submitted for approval prior to distribution.) ____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ ____________________________ ____________________________ _____________ Signature of applicant Print Name Date Please attach a letter on your organization’s letterhead signed by the president authorizing you to run the fundraiser. If you are the president, just state that in the letter. Fax to (248) 353‐1511. You may also scan & email to info@JaxKarWash.net.