Xochimex Fundraiser Application Form – Xochimex Cantina Grill
Date, time and location

XOCHIMEX FUNDRAISER APPLICATION

DATE TIME AND LOCATION

*Select a restaurant to host your fundraiser before selecting date and time.

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Distance Range Radius: KM

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*Fundraisers can only be scheduled 4 weeks in advance and no more than 120 days out.

You may return to this page to edit information before submitting application.

Contact information

XOCHIMEX FUNDRAISER APPLICATION

CONTACT INFORMATION

*Required fields.

Organization Information

XOCHIMEX FUNDRAISER APPLICATION

ORGANIZATION INFORMATION

*Required fields.

Application review & legal

XOCHIMEX FUNDRAISER APPLICATION

Application review & legal

*Please read through and verify all provided information is correct

DATE :

TIME :

LOCATION :

CONTACT INFORMATION

Name :

Phone :

Email :

ORGANIZATION INFORMATION

Organization :

Organization Type:

Address :

*All fields required.

Please provide an estimated number of supporters your organization will bring to the fundraiser

Application submitted

XOCHIMEX FUNDRAISER APPLICATION

THANK YOU FOR APPLYING!

YOUR APPLICATION IS UNDER REVIEW. IF APPROVED, YOU WILL RECEIVE A FOLLOW-UP EMAIL REGARDING NEXT STEPS IN YOUR JOURNEY TO FUNDRAISING WITH XOCHIMEX!

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