Eat to Earn Request Form Eat to Earn Request Form Location(Required)Please select a locationMissionState LineName of Organization(Required) Preferred Event Date(Required) MM slash DD slash YYYY Secondary Event Date MM slash DD slash YYYY Expected Number of Attendees(Required) Purpose of Event Location of Fundraiser(Required) I'd like to host my eat to earn in the selected restaurant and online I'd like to host my eat to earn in the selected restaurant location only I'd like to host my eat to earn online only (carryout and delivery orders*) *Please note that carryout and delivery orders must be made on WingStand.com, through the WingStand app, or over the phone to count towards your event totals. Name(Required) First Last Email(Required) Phone(Required)Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Tax ID Number(Required) Additional Information
