CLIENT INFORMATION FORM:

Name
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Call letters
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Your Address
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  • - select a state -
  • Alabama
  • Alaska
  • Arizona
  • Arkansas
  • California
  • Colorado
  • Connecticut
  • Delaware
  • District of Columbia
  • Florida
  • Georgia
  • Hawaii
  • Idaho
  • Illinois
  • Indiana
  • Iowa
  • Kansas
  • Kentucky
  • Louisiana
  • Maine
  • Montana
  • Nebraska
  • Nevada
  • New Hampshire
  • New Jersey
  • New Mexico
  • New York
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  • North Dakota
  • Ohio
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  • Michigan
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  • Mississippi
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  • Rhode Island
  • South Carolina
  • South Dakota
  • Tennessee
  • Texas
  • Utah
  • Vermont
  • Virginia
  • Washington
  • West Virginia
  • Wisconsin
  • Wyoming
- select a state -
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City
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Zipcode
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Mailing Address (if different than physical address)
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Website
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Term for fundraising event (only check one)
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If other, what?
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High Resolution Logo
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FUNDRAISING EVENT DATES

Dates for Spring
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Dates for Fall
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Dates for Year End
Dates for Year End
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CONTACTS:

Person 1
Person 2
Person 3
Person 4
Full Name
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Title
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Email
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Phone
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Birthday
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Full Name
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Title
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Email
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Phone
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Birthday
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Full Name
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Title
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Email
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Phone
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Birthday
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Full Name
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Title
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Email
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Phone
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Birthday
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Human?
How many letters are your favorite color?
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