Fundraiser Registration Form

Fundraiser Registration Form
Register Your Organization
Organization Information
Organization Name *
Type of Organization *
example: High School Cheerleaders, Church Youth Group, Elementary Classroom
Contact
Name *

First Name Last Name
Title
Phone Number *

Area Code Phone Number
Cell Phone

Area Code Phone Number
Best Time to Call
Email *
example@example.com
Address Type

Business Residential
Address *

Street Address

Street Address Line 2

City State

Zip Code

Order Event Materials

Choose the quantity of promotional materials you'd like to receive.
230087 - Home and Business Brochure
230053 - Envelope
230775 - Fundraiser Announcement Poster
230076 - Event Tracking Poster
Date I would like to receive my materials.

Month Day Year
Date
Comments
Signature *
Date

Month Day Year
Date
Specialist Information (optional)
Fundraising Specialist Name

First Name Last Name
ID
Refer-a-Friend Organization
ID
By signing this agreement I am stating that I am an authorized leader of the organization. I have read the terms and agree to comply with the terms stated on this agreement.

For questions, contact Right Response Customer Service at 800-658-8690 or customerservice@rightresponse.com, Fax 360-334-6803
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Register Your Organization