American Publishers

Simply fill out this request form to get started, or call 1-800-284-9711. You will receive your FREE fundraising information kit and a Fundraising Consultant will contact you. You will be under no obligation to start a fundraiser.

	* Indicates a required field
First Name*:
Last Name*:
Title/Position:

Email Address*:
Phone Number*:	( ) - Ext:
Best Time To Contact:

Organization Name*:
Address:
Unit/Suite Number:
City:*
State*:
Zip Code:

Number of Participants:
Fundraising Goal: $
Has your group run a magazine fundraiser before?:	YesNo
If yes, with which company?:
When Does Your Group Fundraise?:	Fall Semester Spring Semester
	Summer Year-round

AmericanPublishers