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Fundraiser Request Form
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* Indicates required question
Email
*
Your email
Building
*
High School
Middle School
Mary Shoemaker
William Roper
Organization/Team:
*
Your answer
Advisor/Coordinator of the fundraiser:
*
Your answer
Contact phone number
*
Your answer
Type of Fundraiser/Activity:
Your answer
Student Learning Experience
*
Your answer
Start Date:
MM
/
DD
/
YYYY
End Date:
MM
/
DD
/
YYYY
Purpose of Fundraiser (the reason you are raising the funds)
*
Your answer
Amount anticipated from this fundraiser:
Your answer
Account the money will be deposited into:
Your answer
A copy of your responses will be emailed to the address you provided.
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