NAME OF FUNDRAISER:_________________________


PURPOSE:_____________________________


DATE:____________  AMOUNT REQUESTED ;______


CONTACT NUMBER:_____________________

ADDRESS: ____________________________


ADDRESS OF EVENT:____________________

TO BE FILLED OUT BELOW BY JMI

APPROVED OR NOT APPROVED.

Jumping Maniacs Inflatables      
Please call to discuss fundraising options to fit each need.  Also please print out this form on page  call 334-343-2901