| Please fill out the details below to participate in a Beaded Fundraiser! |
| Address: |
| Organisation/Group Name: |
| City: |
| Country: |
| Your Email Address: |
| Contact Phone Number: |
| Your Details |
| Join our Mailing List: |
| Once you have filled out all of the details above click on the submit button to send us your application and we will be incontact with you soon. Thank you Leanne & Jennie |
| State: |
| We thank you for visiting our site and hope that you enjoy viewing our collection. Leanne and Jennie |
| Fundraising Application |
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| Post Code: |
| Your Name: |
| Fax Number: |
| Organisation's Details |
| Contact Phone Number: (if different from above) |
| Fundraiser Information |
| Please indicate a proposed month you would like to begin your Beaded Fundraiser (if known): |
| Sample Item: |
| Please specify which item you would like issued: (Item does not have to be returned) |
| Prefered method of contact: |
| If you have any questions about how to run a successful fundraiser please make your enquiry through our Contact Us Page. |
| When your Fundraiser has been confirmed we will forward your Beaded Fundraiser Order Form and Tally sheet. |
| _______________________________________________________________________________________________________________________________________________ |
| _______________________________________________________________________________________________________________________________________________ |
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