Active Team Fundraising
 
( * Indicates required information. )
Personal Information:  [ Read our Privacy Policy ]
First Name:*
Last Name:*
Primary Phone:* () (Numeric only)
Email Address:*
Address 1:*
Address 2:
City:*
State:*  Outside USA: 
Country:*
Zip:*
Group Name *
 
Type of Group/Sport: *
 
If you answered OTHER SPORT above, please specify:
 
What is your organization's or team's website? *
 
How many members in your group? *
 
When does your group generally fundraise? *
January   February  
March   April  
May   June  
July   August  
September   October  
November   December  
 
Are you the decision maker in choosing a fundraiser for your group? *
Yes   Partially  
No  
 
What fundraising program are you interested in? *
Scratchcards   Chocolate  
Cookie Dough   Popcorn  
Lollipops   Beef Jerky  
 
Are you an eteamz member? *
Yes   No  
 
How did you hear about Active Team Fundraising? *
 
Please keep me informed of special fundraising offers throughout the year! *
Yes   No  
 
Comments/ Questions?