MDAA STUDENT DAY

FUNDRAISING TABLE REQUEST FORM

(Reviewed 2006, File#AUT0090)

All requests for fundraising tables must be received by the Student Day Chairman no later than 30 days prior to the Student Day Event.

School Name____________________________________________________________

Instructor Name__________________________________________________________

Phone Number___________________________________________________________

What fundraising items will you be selling?____________________________________

_______________________________________________________________________

One eight-foot table and two chairs will be provided.  No electricity provided.

Mail this completed form to:

Gwen Graham-Feldkamp CDA, R.D.A

MDAA Student Day Chairman

2121 Baker Road

Dexter, MI  48130