1. Organization Information Please be sure to carefully fill out this section, as you wish your vouchers to read. Click Here to view a sample voucher. Please note all vouchers will read "Applebee's® will donate 10% of your check (excluding tax and tip) to:..." Please fill in "Organization/Club Name" with the verbiage to follow. Organization/Club Name* Organization/Club Website Address* City* State* ALAKAZARCACOCTDEDCFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY Zip Code* Representative's Name* Phone Number* Email Address* Confirm Email Address* Tell us a little about your organization/club Organization Logo User Account Login Setup A user account will be created for your organization to review your current and past events and manage your organization's profile information. Password* Minimum of 6 characters Confirm Password* 2. Choose Your Location Select a state to view locations Select State Connecticut New York Pennsylvania Please select a location for your event 3. Event Information What will your event benefit? Preferred Event Date* Alternate Date #1* Alternate Date #2* Note: You must select a location before you can select your event date. Also, the earliest date you will be able to select is 3 weeks from today's date. This will ensure you have enough time to make your event a success! 4. Check Information Note: Please be sure to carefully fill-out this section, exactly as the check should be made-out and sent. Make check out to* CC check to* Payment mailing address* City* State* ALAKAZARCACOCTDEDCFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY Zip Code* Memo/Description We understand that our group must show proof of eligibility (501c3 status) upon request and that we are required to distribute Dining to Donate event vouchers to supporters of our organization in advance of our event night to encourage attendance so that we can raise funds—vouchers may NOT be distributed on Applebee’s property. Only Applebee's receipts with the "Dining To Donate" event voucher attached will be included in our donation total. It is my groups/organization’s responsibility to market our event and inform our supporters of exactly how it works—that they MUST turn-in their vouchers upon paying or their check will NOT be counted towards the 10% donation. Our organization will take full responsibility if our event does not turn-out to be as successful as we hoped. Applebee’s reserves the right to withhold any donation if a group distributes vouchers at their event or on restaurant property. Please allow up to a month after your event to receive your donation check. Submit Your Event Request Reset