Fundraiser Registration Request Form

Your fundraiser is only considered approved when you receive an email confirmation of your event date and customized fundraising flyer. Please fill out the following to register your request for a fundraiser event.

Organization Name*

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Organization's Website

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Contact Person's First Name*

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Contact Person's Last Name*

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Phone Number*

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Contact Email Address*

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Date of Desired for the Event (i.e. mm-dd-yyyy)*

Please make sure you have entered a valid date.

Approximate Number of Guests Expected

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Select a location*

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Taxpayer ID*

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Payee Name*

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Street Address*

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City

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State*

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Zip Code

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How did you hear about our Fundraisers?

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This form uses reCAPTCHA to stop spammers, hackers and bots.

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Please use the submit button to complete your request.