Star Fundraising Sign Up Form & Order Direct Sell Fundraising Product By Credit Card
Call 712-225-4037 to order product other then by Credit or Debit Card
or if you have questions

By submitting this form, you authorize Star Fundraising to
submit the amount ordered to your credit card company.
* Required
Organization Name*:

Fundraising
Coordinator Name*:

Organization Address*:

City *:



E-mail Address*:

Fundraiser Start
Date*:

Fundraising Goal:   $
Organization Phone*#
Fundraisers End Date*:
Fax#*:
State*:
Reason For Conducting Fundraiser:
     Direct Sale Fundraiser

             Product Selected

    How Many Cases/Items

       


Please click only one time
By submitting this form the contact
person agrees to purchase amount
shown and is also an adult leader
with the organization.

You will be contacted to
verify your information
Name on card:

Card number

Expiration date:
Zip Code*:
Star Fundraising      2075 Highway 3       Cherokee, Iowa 51012
      Fax: 712-225-2191       Ph: 712-225-4037

Copyright2009 Star Fundraising. All Rights Rerserved



Fundraising Coordinator Phone* #
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