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* 1. What DATE would you like to schedule your fundraiser? Must be scheduled 4 weeks in advance and no more than 6 months out.

Date

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* 2. If your first choice is taken, what is your next choice for DATE for your fundraiser?

Date

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* 3. Contact Name

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* 4. Contact Phone Number

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* 5. Contact Email Address

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* 6. Organization Name

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* 7. Brief information about your organization?

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* 8. Does your organization have a 501 (c)(3) status?

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* 9. What are your plans to do with the money raised from your fundraiser?

T