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Fundraiser Items
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To order a Fundraiser Item please fill out the form below:

Contact & Shipping Information

Name:

Address:

City: State: Zip:

Phone:

Item & Payment Information:

Select the Item/Items you desire:
Item 1: Item 2: Item 3:

If you would like to order more than 3 items then please specify the items and quantities in the comment box below:

How much of a donation would you like to make?

Select the method of payment for your donation:
Cash Check Credit Card Money Order

If Credit Card, then complete the credit card information:
Card Number: Exp. Date:



We thank you for your Donation!