Fundraising Participant Application

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Your School's Information

*Your Schools Name:	*Make Fundraiser Checks Payable To:

*Address 1:

Address 2:

*City:	*State:	*Zip Code:

*Primary Contact Name:	*Primary Contact Phone:

*Primary Contact E-mail:


Shipping Information (if different from above address)
Shipping Contact Name:

Address:

City:	State:	Zip Code:


Additional Fundraiser Info
*Expected Fundraiser Start Date:
*Please briefly describe what cause the fundraising proceeds will benefit:	*Your fundraiser consultant:
	Mary@ProjectKOPEG.com Richard @ProjectKOPEG.com