Denim Day Registration

Contact Person:

Name of Business/Organization:

Business/Organization Website:

Address:

Phone Number:

Fax Number:

Email Address:

Businesses/Organizations/Schools: Displays only: I will participate by encouraging employees to wear jeans to work and displaying Denim Day materials. Sponsor Employees: I will host Denim Day at my business and “Giving the Gift of Comfort” to employees by sponsoring each employee for $5 (Example:10 employees = $50). “Giving the Gift of Comfort” means showing your employees and the larger community that you care. Businesses that contribute in this way will be featured in online/print advertising. Employee Donations: I will participate by encouraging employees to make a $5 donation to DVSAS in order to ensure local victims of violence receive necessary services. Businesses that contribute in this way will be featured in online/print advertising.

Clothing Stores: I will participate by discounting denim items during the week of April 25-29 (these dates can be altered). I plan to donate a percentage of proceeds on these products to DVSAS. Businesses that contribute in this way will be featured in online/print advertising.

How many 8.5X11 posters would you like mailed to you? (Posters are also available for download at www.dvsas.org/denimday):

How many 11X17 poster would you like mailed to you? (Posters are also available for download at www.dvsas.org/denimday):

How many Denim Day stickers would you like mailed to you?: