Giambris Candy Pretzel Fundraiser

Fundraising Application

Please complete this entire form and submit it to us.

A representative will contact you by phone or e-mail
 regarding the availability of your request. 

First Name: Last Name:  
Organization Name
Address:

 

Address:

 

City:

State: Zip:

Phone:

Ext:

Evening Phone:

Fax:
Email:
Non-Profit
 Tax ID Number:  		XXX-XXX-XXX
Date of Fund Raiser:

Click Here To Set Date
Tell us about your organization:
What is your Goal:
How did you here about us: