Name of Student Requesting sale/fundraiser/D-hall table:

Email address:

Phone Number:

Name of Sponsoring Organization:

Organization Mail Box:

Advisor:

Dates of Table/Fundraiser:

Time of day? Lunch or Dinner

Pick A Table*: 1A 1B 2A 2B 3A 3B 4A 4B

Description of what you are using the table for:

I have read the applicable guidelines for all fundraisers and/or sales at Longwood University and by signing this application, I agree that my organization will follow policy stated in the Student Handbook. I also understand that failure to follow will put the status of my student organization's benefit's in jeopardy.

Time of day? Agree or Disagree