fundraising application
Fill in the form below and we will contact you to let you know when you can pick up your tickets.
Name of Organization
Contact Name
Street Address
City
State
Zip
Telephone
Email
Non-Profit ID#
Single Bubble Coupons Needed
100
500
Raise $4 per wash
Triple Bubble Coupons Needed
100
400
Raise $9 per wash
Desired start date of program
-
-
( 03-03-2006)
Program runs a maximum of 30 days
Describe your organization and purpose for fundraising.
Comments
90 Southampton St. Boston MA
Phone: (617) 427-5595 - Fax: (617) 427-5508
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