Fundraiser Request – Manuel's Mexican Restaurants

Organization Name*
Address*
Street Address Address Line 2 City State ZIP Code
Contact Name*
First Last
Contact Phone*
Contact Email*
Choose A Location*
Requested Date Of Event*
MM slash DD slash YYYY

Monday - Thursday (We cannot accommodate your request if the event is less than 30 days from today's date.)
2nd Requested Date Of Event (If First Is Not Available)
MM slash DD slash YYYY

Monday - Thursday Must be 30 days in advanced
Estimated Group Size*
Minimum 20 guests
Hidden
Estimated Return For Your Group
Based on an average of $12 per person.
Any Notes To General Manager
By checking this box you agree to be added to Manuel's Mexican Restaurants email marketing database and agree to receive periodical emails regarding marketing and promotions. Manuel's promises to never sell, rent or misuse your personal information
- I agree