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*Required information.
Organization Name *
First Name *
Last Name *
Phone {No space, ( ) or - } *
Email *
Address *
City *
State *
Zip Code *
Fundraiser Start Date *
Quantity of Fundraiser Order Forms needed
Purpose for Fundraiser
How did you hear about our Fundraising Program?
Characters left:
 Please allow 2 weeks for delivery from date of full payment and order.
 When providing your customers a Delivery Date
   on the Fundraiser Order Form, please take our delivery time
   into consideration.
 Gift Boxes are palletized and delivered 
   via LTL (Less Than Truckload) Freight.
 The manufacturer (Calhoun Bend Mill) reserves the right
   to substitute mixes or the color of box.

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