Fundraising Form Are you a non-profit organization? No Yes Fill out this form and follow the payment instructions on the confirmation page. Items marked with an asterisk (*) are required. Your Organization:* IRS Non-Profit # (123456789, no dashes): Contact Name:* Contact Phone Number:* Contact Email Address:* Secondary Contact Name: Secondary Contact Phone Number: Secondary Contact Email Address: Number of Coupons:* Shipping Information Note: We can not ship to PO Boxes Name:* Address Line 1:* Address Line 2: City:* State:* select AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Zip Code:* Thank you for your interest in the Wawa Hoagie Charitable Fundraising program. Unfortunately, we are only able to work with community-based, non-profit organizations. In order to order these coupons, you must agree to use them only for fundraising for your non-profit organization.