Contact Name:         Organization Name:

E-Mail:          Phone:

Address:     City:     State: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Dist of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming     Zip:

Is this the address of the location where you will host the fundraiser? yes no

When would you like to host the fundraiser? Soonest Booking 1-3 Months 4-6 Months 7+ Months Not Sure (Just so we know what your expectations are)

Estimated number of families in congregation/organization/department: Unsure < 25 25-50 50-75 75-100 100-150 >150

What is the target number of days to host this fundraiser? One Day Only Two Days Three Days More than Three Days

What days of the week are your preference? (typically we do fundraisers on Friday, Saturday and Sunday)
Sun     Mon      Tues      Wed      Thurs      Fri      Sat          Any
                                                 

Please type any questions you may have regarding the fundraiser in the box below.