SPONSOR/CHAIRPERSON NAME *

First Name

Last Name

WHERE DO WE MAIL THE PROFIT CHECK *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

CONTACT CELL Phone *

REQUIRED! THIS IS HOW WE SEND YOU YOUR BANDS USER NAME PASSWORD AND YOUR SPECIAL LINK FOR YOUR GROUP TO GET STARTED

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YOUR FUNDRAISER START DATE *

CHOOSE A 2 OR 3 WEEK FUNDRAISER

MM

DD

YYYY

YOUR FUNDRAISER END DATE *

END DATE SHOULD BE 2 OR 3 WEEKS LATER

MM

DD

YYYY

BANDS PHONE NUMBER *

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