LaBraid Fundraising

Perferred Delivery Time (Time subject to availability)	Time Zone
Group Name
Group Size
Your Name
Contact Phone Number	( For us to contact you)
Email Address
Delivery Address
City	State Zip
Mail Fliers to Address
City	State Zip
Perferred Phone Number	(Printed on the flier)
Requested Start Date	mm/dd/yyyy
Requested End Date	mm/dd.yyyy (We recommend selling for 2 weeks)
Preferred Delivery Date	mm/dd/yyyy (Mininum 14 days after end date)
Dates and times are requested, and need to be confirmed by LaBraid Fundraising
What are your raising funds for?
How much do you need to raise?
Item goal per/participant	Items
Make checks payable to?	(Example: Kickstart Gymnastics Boosters)
How Did You Hear About Us?
If Other, Please Specify
Have you worked with LaBraid Fundraising before?	Yes No
Please select the program your interested in	Butter Braid Pastries Classic-Breaks Cookie Dough Dutch Desserts

Comments:

LaBraid, Inc.
9404 W. 2100 S.
LaCrosse, IN 46348
P 219.754.2501
F 219.754.1199
info@labraidfundraising.com