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APPLICATION
Agency Name

Contact Name
Address

City
State Zip
Phone

Fax

Contact Email

Web site

How did you hear about our program?

Do you have an existing or past relationship / dealing with any of our other Heritage properties?

Please describe your organization/company mission

This program is only available to 501 (c) 3 organizations as defined by the IRS. Does your organization meet this criteria?

Active Board Members

Which geographical area is served by this project?

How long has your organization been in operation?

Describe your top three funding sources

What is your annual budget?

How many people does your organization serve?

What is your Administrative Expense Percentage?

Please describe how funds provided by
Loxley's would be dedicated


Please enter the code below:

a7rg2ej

Loxley’s "The Legend Continues" Program

The goal of "The Legend Continues" program is two-fold. First, it's our way of giving back to the local community and second it's a way to educate and create awareness for local Charities.

As part of this program, Loxley's will donate 5% of the restaurant check, exclusive of alcohol, to a participating charity. Charities are selected after an application review process. Three charities are chosen each month. Participating charities will receive their donation check within 90 days after the the last day of the month in which they were a participating charity. For example, August charities will be delivered by the end of November.

Customers at Loxley's are able to designate which charity receives their donation and have the option to add-to the donated amount. To help our customers make an informed decision, charity information will be displayed at each table. Additional literature is also available and displayed at the hostess station.

If your organization is a good candidate for our program, we will contact you. It is our honor to help the local community. We wish it were possible to honor all requests, however, we simply cannot. Applications remain valid for 6 months. If your organization has not been selected within that timeframe, feel free to reapply.

Please provide as much information as possible. All fields require complete answers for an application to be considered.