Deadline to register is September 30th, 2017

Business Name:
Contact Name:
Address:
Address Line 2:
City or Town:
State:
Zip or Postal Code:
Phone:
Email:
Please submit your logo for our website for promotional purposes
Logo File:

Please Select the date(s) that you would like to participate
   Sunday: October 15, 2017   
   Monday: October 16, 2017
  Tuesday: October 17, 2017
   Wed.: October 18, 2017
   Thursday: October 19, 2017
   Friday: October 20, 2017
   Saturday: October 21, 2017
Please indicate the percentage of sales you would like to donate:
If you would like to donate a dollar amount, please indicate the amount:
     

All proceeds will be donated to One America Appeal, a 501c3 tax deductible foundation established by all five former living presidents.  www.oneamericaappeal.org    All participants will be responsible for donating directly through this site.

Please indicate your zip code in the matching gift section when donating so we can keep track of how much Edison Eats for Relief!

if you have any questions please email: edisoneats@edisonnj.org or contact
Melissa Perilstein at 732-248-7298.