Jeans Day Business Participation Form


Use the form below to apply for participation as a business in Jeans Day. Be sure to designate a coordinator within your business to collect the money and hand out stickers. You'll receive a letter stating the chosen charity of the month and enough Jeans Day stickers for all participating employees. You'll also receive Jeans Day posters to hang in your building and your business name will appear in the full page Jeans Day ad publishing in the Bismarck Tribune each month. It is important that you fill out all the fields to ensure your request is quickly and properly processed.

You can also download a copy of the participation form if you prefer to send your request via mail.

If you are already a Jeans Day participant and wish to start receiving Jeans Day information electronically, go to the "Electronic Notification" form.

If you have any questions about this form, contact Sara Miller at (701) 250-8220, or e-mail her at sara.miller@bismarcktribune.com.


Date:  
Business:  
Address:  
City:  
Zip:  
Business Phone:  
Number of Employees:  
Number of Stickers
Needed Monthly:  
(based on the number of employees who will participate in your office)
Number of Jeans Day posters for your office:  
Jeans Day Coordinator:  
Coordinator's Phone:  
Email:  
Would you like to receive
the monthly Jeans Day
newsletter via e-mail:  
Yes      No
 
Any questions or comments