Community Table Request Form
The Shops at Wiregrass allows non-profit organizations the opportunity to apply for access to a table in front of JCPenney's Courtyard, to help raise awareness (no funds may be accepted, see Fundraising Table Form) for their organization or cause.

Please note that this is Step 1 of the Application Process. After submission of the Community Table Request Form an application will be sent to you directly from a Staff Member within a timely manner. Please allow up to 48-72 hours for review.

Organization Name
Your answer
First Name
Your answer
Last Name
Your answer
Organization Purpose/Mission
Your answer
E-Mail Address
Your answer
Phone Number
Your answer
First choice for tabling date?
MM
/
DD
/
YYYY
Second choice for tabling date?
MM
/
DD
/
YYYY
I understand that this is only the request for an Application.
Required
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms