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Your Name
Your Phone
Please select your location
Name of 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?
Choose one of the following products:
When would you like to pick up the product?
Who will be picking it up? Please include name and contact info.
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