Name of Organization:
Group Leader:
Organization's Mailing address:
Shipping address:
City State: Zip
Group Leader email:
Daytime Phone:
Evening Phone:
Dates you plan on having fundraiser? Start Date: End Date:
Financial Goals: High Goal Low Goal
Any other fundraising events during this sales period?
Number of participants selling?
Comments or Instructions:
If all the information is correct then click
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