2. Please complete for fundraisers.

   Only Jupiter based civic groups, Jupiter based non-profits with a 501(c)3 designation, Jupiter based public schools and pre-approved governmental agencies will be authorized to host fundraising events at Town rental facilities.

   Questions? Please contact us at 561-741-2400, during our business hours or Email us at any time. 
   Business hours are Monday-Friday, 8 AM-9 PM, Saturdays, 8 AM-4PM.

   Items with red asterisk are required.

4. Name of Organization*
5. Estimated # of Attendance?*
7. Proposed Event Date*
   Proposed Event Date
8. This organization is a*

   1. Non-Profit
   2. 501(c)3
   3. Jupiter Civic Group
   4. Church
   5. Jupiter School
   6. Governmental Agency
9. Has a permit been submitted for this event?*

   1. Yes
   2. No
11. Proceeds to benefit?*
12. Fundraising Target (Net $$)*
14. Venue*

    1. Civic Center
    2. Old Town Hall
    3. Community Center
15. Is the Town of Jupiter a co-sponsor?*

    1. Yes
    2. No
16. Is this fundraiser open to the public?*

    1. Yes
    2. No
18. If a open to the public, how will it be advertised?

    1. TV
    2. Paper
    3. Email
    4. Facebook
    5. Other
19. How will money be raised? (Check all that apply.)*

    1. Silent Auction
    2. Raffle/Lottery
    3. Food/Bake Sale
    4. Onsite Ticket Sales
    5. Pre-Ticket Sales

    1. Merchandise Sales
    2. Item Auction
    3. Donations
    4. Pledges
    5. Other
21. Set Up to Begin at*
    Set Up to Begin at
22. Event Hours*
    Event Hours Start Time

    —

    Event Hours End Time
23. Clean Up to End at*
    Clean Up to End at
25. Organization Contact Name*
26. Organization Contact #*
28. Organization Contact Email*
29. Organization Webpage URL
31. Document Uploads

    You may also choose to email the following documents to briand@jupiter.fl.us.

33. Upload 501(c)3 Here
34. If tax exempt you must upload your Florida Tax Exempt Certificate here.

    Taxes will be applied if the State of FL Tax Exemption Certificate is not uploaded here. Please do NOT upload your Federal Tax ID information.

36. Upload Resident DL Here
37. Upload Resident Utility Bill Here

    These items will be deleted once confirmed.

Leave This Blank:


39. 1. Receive an email copy of this form.
40. Email address

    This field is not part of the form submission.

41. Submit

* indicates a required field