Café Por Favor Internet Fundraiser Application Please fill in all applicable form fields. All fields are neccessary for us to determine the eligibility of your charity. Personal Information: Contact Person: Organization: Address information Address: City: State: Zip code: Country: Other contact information E-mail: Phone: Example: (602) 123-1234 Fax: Example: (602) 123-1234 Charity information 501(c)3 Number: What is your organizations' purpose? What is your organization? Church Individual None Organization School Do you have a website? How the fundraiser will be marketed? How will the funds be used? How many Coffee Club members do you expect? (subscription of at least 3 bags every 4 weeks)