Fundraiser Registration Form | Buckets for Benefit

Organization Name:

First name

Last name

Contact Phone:

Phone number you would to use on the order form.

Mobile Number:

Where we can reach you during delivery.

Email

Email to be included on the order form and can be reached any time.

Mailing Address:

Country/Region

Address

City

Zip / Postal code

Billing Address:

Country/Region

Address

City

Zip / Postal code

Name of Shipping Location:

Shipping Address:

Country/Region

Address

City

Zip / Postal code

Type of Delivery Location:

Sales Period START Date

When sales will begin. We will need 1 week for customization and order forms to be mailed.

Sales Period END Date

When your organization will conclude sales.

Number of Sellers:

This will indicate how many order forms you will need. Order forms are professionally printed.

I would like my order form to include:

Contact Phone Number

Email

None

Please select all that apply.

Organization's color(s) to be used on order form:

Make Checks Payable to:

If you accept checks from customers, who will they write the check to?

Is your organization tax exempt?

Yes

No

I don't Know

Pricing does not include sales tax. If your organization is not tax exempt, sales tax may apply.

Tax ID Number:

Upload Tax Exemption Form

Logo (if applicable):

By uploading your logo you are giving Buckets for Benefit permission to use it on the order form and website.

Payment Type

How did you hear about us?

Previous Customer (I sold your products through fundraising).

Customer (I purchased your products through fundraising).

Referral (someone referred me)

Google or Search Engine

Social Media

Friend or Family

I have read and understand the Program Guidelines.

I give Buckets for Benefit permission to send promotional emails and to use my information on the website so that customers may locate my organization for sales only. You may opt out at any time.

Signature

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.