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: $
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:
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* #
