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Phone

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City *

Post Code/Zip *

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Type of Organization

Type *

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*If yes please upload tax exempt certificate

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Estimated Number of Participants

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Preferred End Date *

Please note we require 7-10 days to ship product

Fundraiser Goal *

$200 $50000

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Accounts Payable Contact Information

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Accounts Payable Contact Information

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Contact Information

School/Organization Details

Type of Organization

Tax Exempt Status

Fundraiser Details

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Accounts Payable Contact Information

Additonal Information

Acknowledgements and Agreements

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