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About If your wanting PJ's to help your organization out, such as donating gift cards, gift baskets or other items; please fill these two forms out and return them to PJ's as soon as possible!! We have copies at PJ's as well! Thanks for all inquiries! Story We do NOT accept checks!!!!!!! 117 North Main Street Picayune, MS 39466 (601) 799-4901 Fax (601) 799-4930 Thank you so much for inquiring with PJ’s Coffee of Picayune for a potential donation. One of PJ’s Core Values is being community minded. We take great pride in our donations to the community. With such an influx of request for donations, we’ve put a limit and timeline on them. We are now limiting a dollar amouts per quarter. Once we’ve reached that amount, donations will not be made again till the following quarter. All donation request must be made in writing one month proir to the event. They are first come, first serve. The following entails questions rearding your endeaver. Please complete this form in its entirety. Lack of information and clarification may prohibit PJ’s from being able to process your request to assist your cause. Feel free to drop your form off at PJ’s Coffee or mail your completed form to the above address. Date of request:____________________________________________________________________ Date of event:______________________________________________________________________ Your Organization, Church or Company:__________________________________________________ Address:__________________________________________________ __________________________________________________ Non-Profit Organization: yes/ no Federal Tax ID number:______________________________________________________________ Contact person:____________________________________________________________________ Phone/cell number:_________________________________________________________________ E-mail address:____________________________________________________________________ Purpose of request, as to what will the donation be for:_____________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ Type of donation requested:___________________________________________________________ Amount of donation requested:________________________________________________________ Your name:________________________________________________________________________ Position:__________________________________________________________________________ Signature of person receiving request:___________________________________________________ Date:_____________________________________________________________________________ PJ’s manager:______________________________________________________________________ As stated earlier, request are based on a first come first serve basis. The donation MUST be requested one month prior to event or occasion . For office use only: Was donation approved: yes/ no What dollar amout or gift was given?____________________________________________________ Owners’ signature:__________________________________________________________________ 117 North Main Street Picayune, MS 39466 (601) 799-4901 fax (601) 799-4930
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