Contact Us For Fundraising Name* First Last Address Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code E-mail Address*Phone*Is your organization a registered non-profit? (Note: This does not disqualify or qualify you from being able to do a fundraiser with us.)*YesNoIs this for a group project or for personal reasons? Sorry, at this time we can only do fundraising for groups, not individuals.*GroupPersonalPlease briefly explain what you are raising money for.*What are the approximate dates you will be fundraising?Would you like to be added to our e-mail list to receive specials?*YesNoQuestions/CommentsEmailThis field is for validation purposes and should be left unchanged.