Fundraiser Registration Form

Organization:
Coordinator Name:
Office Phone:
Home/Cell Phone:
Email:
Mailing Address:
City:
State:
ZIP:
Plan:
Shipping Plan:
Number of Students Selling:
Fundraising Goal:	(Number of wreaths) - Remember, there is no minimum order
Desired Delivery Date:
Shipping Type: (Bulk shipping only)
Shipping Address:	(Must be Commercial / Business address)
City:
State:
ZIP:
How would you like to receive your sales materials/flyers?
Notes/Comments: