Click here to download a PDF version or the form and turn into a Moe's location, or just fill out the form below online and submit

Fundraiser Organization *


Fundraiser Date *


Moes Location *


Organization Information

Agreement Terms:

By submitting this form you agree to the following: Approval of this agreement is at sole discretion of Moe's Southwest Grill.  Please note that this agreement must be approved at least three(3) weeks before your scheduled fundraiser event.  This agreement may be terminated and/or cancelled on thirty(30) days written notice at anytime during the term of this agreements by either party.  The above organization will promote this fundraiser event for the above Moe's Southwest Grill location only.  The proceeds for the event will be up to 10% of the pre-tax sales receipts for the food and beverages.  Participants must purchase a beverage with their meal in order to recieve credit towards the organization.  One beverage per meal purchase.  One flyer required per transaction.  No other coupons or discounts may be applied.  By submitting this contract, I understand that all flyers are to be distributed prior to the event, and under no circumstance are the flyers to be handed out at the restaurant, parking lot, or vicinity.  The event traditionally takes place between the hours of 5p.m. to 8 p.m. unless otherwise approved and noted on the contract by the General Manager of the above restaurant.  A check will be mailed to the organization within 4-5 weeks after the event.  No guarantees or warranties of any kind are made by either party hereto as the anticipated success of the event.

All forms will display success page and email confirmation after submission. If you do not recieve email confirmation, please contact us by phone.  Thank you

Catering Coordinator-Steve Gray 919-625-5658