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First Name *

Last Name *

E-Mail *

Phone *

Organization, Group, or Team Name *

Roughly how many groups, teams, or organizations do you anticipate being a part of your fundraiser? Describe the structure by listing the overseeing organization and teams/groups/clubs that will be a part of your fundraiser for sales tracking purposes. *

Estimate how many total participants for your fundraiser. Include entire organization staff, administrators, board members, spouses, etc. and all team members, group/club members, etc. that you anticipate inviting via email to join your fundraiser to raise money for your cause. *

Fundraising Campaign start date:

Fundraising Campaign end date:

These dates are:

0 + 1 = ? Please prove that you are human by solving the equation *

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