Fundraising Sign Up Form

Yes, sign me up for fundraising!

* Indicates required field

First Name *

Last Name *

Email *

Phone *

Organization Name (This is who the cheque will be payable to) *

Organization Type (school, team, camp, church, service club, etc) *

Date you want your fundraiser to start *

If you have a specific end date for this fundraiser list it here. Otherwise, put "Ongoing" in the box below. *

Phone Number *

Mailing address for cheque (Can be to your organization or personal contact address) *

City *

Province *

Postal Code *

Comments or questions? *

Once your form is submitted and reviewed, you will receive an email with your coupon code.

Submit