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Fundraising Information Sheet
Click here to print the Fundraising Information Sheet Form.
Section 1: Organization Information
Name:
Organization Name:
Organization Address:
Organization Address2:
City:
State:
[select]
AL-Alabama
AR-Arkansas
AK-Alaska
AZ-Arizona
CA-California
CO-Colorado
CT-Connecticut
DC-Washington D.C.
DE-Delaware
FL-Florida
GA-Georgia
HI-Hawaii
IA-Iowa
ID-Idaho
IL-Illinois
IN-Indiana
KS-Kansas
KY-Kentucky
LA-Louisiana
MA-Massachusetts
MD-Maryland
ME-Maine
MI-Michigan
MN-Minnesota
MO-Missouri
MS-Mississippi
MT-Montana
NC-North Carolina
ND-North Dakota
NE-Nebraska
NH-New Hampshire
NJ-New Jersey
NM-New Mexico
NV-Nevada
NY-New York
OH-Ohio
OK-Oklahoma
OR-Oregon
PA-Pennsylvania
PR-Puerto Rico
RI-Rhode Island
SC-South Carolina
SD-South Dakota
TN-Tennessee
TX-Texas
UT-Utah
VA-Virginia
VT-Vermont
WA-Washington
WI-Wisconsin
WV-West Virginia
WY-Wyoming
AB-Alberta
BC-British Columbia
MB-Manitoba
NB-New Brunswick
NL-Newfoundland and Labrador
NT-Northwest Territories
NS-Nova Scotia
NU-Nunavut
ON-Ontario
PE-Prince Edward Island
QC-Quebec
SK-Saskatchewan
YT-Yukon
Zip:
Organization
Contact Person:
Contact Phone:
Contact Fax:
Contact Email:
Section 2: Check All Which Apply To Your Organization
Sports Team
Concession Stand
Non-profit
Religious Organization
Booster Club
Event
Club / Group
Educational / School
Other
Does your organization currently have a MaineSaver Value Card?
Yes
No
