ENROLL NOW

First Name *

Last Name *

E-Mail *

Phone *

Organization, Group, or Team Name *

Your role in the Organization?*

MEMBERSHIP:

How many members do you have?

How many teams/groups do you have?

How many members or what percentage do you anticipate participating in this fundraiser?*

FUNDRAISER CAMPAIGN: *We suggest you start on a Thursday and do an 11-day fundraiser ending on a Sunday.

Fundraising Campaign "Start Date":

Fundraising Campaign end date:

These dates are:

4 + 2 = ? Please prove that you are human by solving the equation *

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