First Name *
Last Name *
Group/Organization Having Fundraiser *
Your Role With Group/Organization *
School (if applicable) *
E-mail Address *
Confirm E-Mail *
Address *
City *
State *	AL AK AR AZ CA CO CT DC DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY
Zip Code *
It takes two to three weeks preparation time for a successful fundraiser. What is your target date to begin? *
You may want each student to raise a specific amount. What would you set as the ideal sales goal for each student (minimum is 10)? *
We will provide a $5 gift card for every student that reaches the goal. What type of gift card would you like for your group? (choose one): *	Amazon.com Starbucks Wal-Mart
Approximately how many people will participate in the fundraiser? *
Do you prefer we mail or email the Fundraiser Agreement? *	e-mail mail