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School or Organization Name*
Email*

Your privacy is assured. We do not share your information with 3rd parties.
Phone*
Your privacy is assured. We do not share your information with 3rd parties.
Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code

Zip Code
[old stand alone zip]
How Many Participants?*
Approximate Retail $ From Last Fundraiser?*
Company Used for Last Fundraising Campaign?*
When Are You Looking To Kick-off Your Fundraiser?
Fall
Spring
Now
How Did You Hear About Us?*
Comments or Questions?
cont
content
src
source
cmpgn
campaign
kw
keyword
GA Refer
refer
$ per Student
DEPRECATED - Approximately How Many Participants?
create number field for this...didnt want to delete the field so hidden
DEPRECATED - Approx. Retail $ From Last Fundraiser?
Changed this for a numberic field data type didn't want to delete feild so this is hidden
DEPRECATED - COUNTY of School or Organization
NO longer need county now we have a good zip look up list feild now hidden

Standard Prizes Onlyshelby b2020-07-10T12:52:50-05:00

Standard Prizes Only

Prize Brochure Only

Commercial 1

Commercial 2