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? *

What do you anticipate your participation percentage to be? *

FUNDRAISER CAMPAIGN: *We suggest you start on a Thursday and do a 4-day or 11-day fundraiser ending on a Sunday.

Fundraising Campaign "Start Date":

Fundraising Campaign end date:

These dates are:

What is your financial goal or how much have you raised in the past on other fundraisers? *

2 + 6 = ? Please prove that you are human by solving the equation *

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