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 Fundraiser Application Form
Welcome!

Welcome!

Your Name

Your Name
Your Email Address

Your Email Address
Your Group's Name

Your Group's Name
Your Group's Web Address

Your Group's Web Address
What is the main focus of your group?

What is the main focus of your group?


Your Group's Webmaster

Your Group's Webmaster

Please type your webmaster's name and email address below.
Other Group Members

Other Group Members

Please include other people within your group who should be included in communications about fund raising. Name, title (if applicable) and email address. (for ex. Jane Smith, Vice President, jane@email.com)

How many members are in your group?

How many members are in your group?
Other Events and Fund Raising

Other Events and Fund Raising

Does your organization have any annual events or other fundraising methods in place? Please describe.

Getting Commission Payments to Your Group

Getting Commission Payments to Your Group

Does your group have a paypal account? If so, who is the contact person in your group about this? Please include their name and email below.
Physical Address

Physical Address

Please provide a mailing address and main contact person for your group.
First Name*

 		Last Name*
Company
Address*

City*
State*
Postal Code*

 		Country*
Email*
Day Phone*

 		Evening Phone
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