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Your Name
Your Phone
Please select your location
Name of Organization
Is your organization a 501c3 tax-exempt charitable organization?
What is your relationship to the organization?
Who is the Executive Director of the organization?
Have you partnered with us for fundraising before?
Name and type of event/fundraiser that the cookies will be used for:
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What is the goal of the event?
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When is the event/fundraiser?
How many people do you expect to serve?
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Please describe the product and/or donation you are requesting:
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How will the donation or product be used?
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How will the donation or product benefit your organization?
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How will the donation or product benefit Appalachia Cookie Company?
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Is the organization or event willing to provide Appalachia Cookie Company marketing materials? If so, what opportunities are available?
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