Call us at1-800-564-9992 to request your FREE SAMPLE KIT and receive a Free Try-It-Out Scratch Pack raising $100 OR fill out the Form below to request your FREE SAMPLE KIT and receive a sample Scratch Pack along with Program info.
WHICH PROGRAM ARE YOU INTERESTED IN?
FUNDRAISING CAMPAIGN INFORMATION
Number of participants:    
Financial objective for you fundraiser: $    
Reason for Fundraiser:
When do you plan to start your next fundraiser?*
Month: Day: Year:
How many fundraisers per year do you organize?*
GENERAL INFORMATION
First Name:  
Last Name:  
E-Mail Address:  
Your Title/Position:
School/Group Name:
(Please Type Name in Full)		  
Your Group administered by:
Type of Activity:
(ie. Junior High School, Music, Soccer, etc.)		  
Mailing Address:  
City:  
State/Province:  
Country:
(Product valid in the USA and Canada only.)		  
Zip/Postal Code:  
Address Type:
Home Phone (incl. area code)
- -    
Work Phone (incl. area code)
- -  Ext:    
Where Did You Hear About Us:  
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