Cookie fundraiser START-UP form

Start your Cookie fundraiser NOW by filling out the information below. Fields marked with an asterisk (*) are required to process your request. Use your mouse or "TAB" key to move to the next field. Do not hit "enter", or your request may not be processed properly. Click on the "Submit" button when your form is complete.

Please choose one of the following before continuing;
Please select one I HAVE DECIDED to use This Cookie Dough Fundraiser and am ready to begin I HAVE NOT DECIDED which fundraiser I want to do, but would like more information

*Your Name:
Group/Organization: 
*Address:
*City:  *State: -- AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IO KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY *Zip:
*Email:
*Telephone:
Fax:

*Number of participants:

How many BROCHURES do you need?
Goal you wish to reach:

Which Cookie fundraiser do you want to do? Enter your choice - REQUIRED Colossal Cookie Fundraiser Emma Lou's Gourmet Cookie Dough Fundraiser I will call you to discuss

Tax exempt number for your group:
Note: If you do not have a tax number, you will be responsible for sales tax and all other applicable taxes according to your state tax laws. Kentucky residents with no tax i.d. number must  pay KY sales tax on all orders.

Start date of fundraiser:
End date of fundraiser:

Ship to address: (if different from above - NO P.O. Boxes)
Name:
Address:
City:    State: -- AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IO KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PN RI SC SD TN TX UT VT VA WA WV WI WY   Zip:
Ship to phone #:

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