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Coupon Book - Saving Supporters Thousands!™ Contact Form

Register a Non-Profit &

If you know of or are apart of a school, church, club or non-profit that is looking for the perfect local fundraising idea and you would like to use local coupon books for your next fundraiser simply tell us about your fundraising goals by filling out the fundraiser information form below and we will contact you within one business day to customize a fundraising campaign using coupon books to help you to achieve your goals!

Information about you
Name:
Email:
Mobile Number:
Title:
Fundraising Coordinator (Who will be making the final decision)
Decision Maker:
Title:
Organization:

Address 1:
Address 2:
City:
State:
Zip:
Phone:
Fax:
Email:
Fundraising Details
Group Name:

Fundraiser Ideas:	Choose the type of fundraising information that you would like to receive:
	Elementary School
	Middle School
	High School
	Private / Christian School
	Church Group (Youth, Mission, Adult)
	Child Care (Public, Private or Church)
	Fraternal or Civic Club (Rotary, Pilot Club, Moose, etc.)
	Business Club (BNI, Chamber, Young Professionals, etc.)
	Religious Groups (Whole Church)
	Sports Teams
	Small Non-Profit
	Large Non-Profit
	Special Needs (Community Fundraiser)
	Other (Not Listed - Please specify below)
Other:

Group Size:	1-25 people
	25-50 people
	50-75 people
	75-100 people
	100-150 people
	150-200 people
	200-300 people
	300-400 people
	400-500 people
	500-750 people
	750-1,000 people
	1,000-1,500 people
	1,500-2,000 people
	over 2,000 people

Fundraiser Timing:	Spring
	Summer
	Fall
	Winter
	Specific Dates
	Specific Function

Fundraising Goal:	$1 to $200
	$200 to $500
	$500 to $1,000
	$1,000 to $2,000
	$2,000 to $3,000
	$3,000 to $5,000
	$5,000 to $10,000

Organization Type:	Please choose the organization type below that most closely describes your organization or the organization that you are referring?

School	School, After School Programs
	School, Elementary, PTA
	School, Elementary, Library
	School, Elementary, School Wide
	School, Elementary, Clubs
	School, Middle, PTA
	School, Middle, Clubs
	School, Middle, Band
	School, Middle, Cheerleaders
	School, Middle, Choral
	School, Middle, Sports
	School, Middle, Booster Clubs
	School, High School, Band
	School, High School, Choral
	School, High School, Clubs
	School, High School, Booster Clubs
	School, High School, Cheerleaders
	School, High School, Sports
	School, Private, Clubs
	School, Private, Band
	School, Private, Choral
	School, Private, Sports
	School, Private, PTA
	School, Private, Boosters
	School, College, Clubs
	School, College, Sports
	School, College, Fraternity/Sorority
	School, Other (please List below)
School Type Other:

Church	Church, Child Care
	Church, Youth Group
	Church, Outreach & Missions
	Church, Event
	Church, Other (please List below)
Church Type Other:

Sports	Sports, Baseball
	Sports, Softball
	Sports, Basketball
	Sports, Soccer
	Sports, Bowling League
	Sports, Wrestling

Scouts & CAP	Scouts, Boy
	Scouts, Girl
	Military Organization (including CAP)

Families & Individual	Family Challenge
	Individual Family or Personal Challenge

Other	Daycare or Childcare
	Local or National Association
	Civic Club (Rotary, Pilot Club, Woman's Clubs)
	Fraternal Organizations (Freemason, Moose, Elks)
	Group, Other (please List below)
Group Type Other

Comments & Questions	Please limit your comments to no more than 255 characters (numbers, letters, spaces, etc.).


What happens when you click the "Submit" button? After you click "Submit," your contact information will be sent to the Independent Account Manager responsible for your area. They will in turn email you additional fundraising information and call you within one business day to explain the fundraising program details and answer any questions. In most cases we can provide Coupon Books for your fundraiser the same day. Thank you for helping us to Save Your Supporters Thousands!™

Thank you for supporting Coupon Book - Saving Supporters Thousands!™