Raley's Family of Fine Stores


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Solicitor Request

Thanks for your interest in our store visitation program. This program was designed to support civic and community activities around our store locations. You may apply for a nonprofit organization, group, or individuals to solicit contributions and/or distribute literature at our location.

It's important that you understand the rules of this program, so please read the "Rules for Individuals and Organizations Soliciting and/or Disributing Literature" (available here) very carefully before you apply.

Let's get started:

All Fields in This Box Required

Your First Name:

Your Last Name:

Your Email Address:

Your Phone Number:
- -

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Your Organization's Name:

Your Organization's Address:

Your Organization's City:

Your Organization's State:

Your Organization's Zip Code:

Your Organization's Tax Exemp ID Number:

Your Organization's Website (optional):

Please tell us the nature of your activities (example: soliciting funds for (please explain), distributing literature for (please explain), etc.):

Will you be selling an item for fundraising purposes? Yes No

All Fields in This Box Required

Store Location:

Date of your Visit between 09/14/10 - 11/06/10
(Please select store location first so we can show availability.):

Time you will arrive:

I have read and agree with the Terms and Conditions as available here.

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