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General Information
        School/Church/Legal Name:
        Organizing Group's Name:
        Make Checks Payable To:

Type Of Organization
        Public School Elementary Middle/Jr. High Sr High
        Private School Elementary Middle/Jr. High Sr High
        Higher Education Public College Private College  
        Pre-School Public Private  
        Day Care      
        Library      
        Church      
        Other  

Contact Information
        Fundraiser Coordinator
        Position:
        E-mail:
        Phone #:
Main Switchboard:
        Fax #

Address To Send Checks To
        Street Address
        City:
State: Zip:

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