Organization
* Organization Name:
* Intended purpose(s) for which funds will be raised through this partnership:
* Organization Mailing Address:
Contact Person
* Name:
* Email Address:
* Phone:
FAX:
* Mailing Address:
Please indicate how you will communicate our partnership to your group and its supporters: (check all that apply)
	Targeted/Special Announcement or Campaign via email or mailing
	Newsletter
	Meeting Announcement and Minutes
	Fliers distributed at events, etc.
	Other: please specify
Please check each item below to indicate you have read our fundraiser program policy:

		* We understand that our participation in the Dancer Farm B&B's Fundraiser Partnership Program is at the discretion of the B&B's management .
		* We understand that this program is for 2010 and includes room reservations and gift certificate purchases; but, payment for B&B lodging by gift certificates will not be included in the final tally.
		* We will submit our Organization's request for participation on official letterhead and provide materials to complete this application. Send to: Dancer Farm Bed and Breakfast, Attn: Fundraiser Partnership Program, 19 Archertown Road, New Egypt, NJ 08533
		* We will use promotional text and logo provided by the Dancer Farm B&B to promote participation in this fundraiser program.

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