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Sign Up: Contract Form

Most fields below are required to properly process your request. Please complete the form below to sign up.

Organization / School Name:

* (required)

Address:

* (required)

(if needed) Address line 2:

City:

* (required)

State/Province:

Zip/Postal code:

* (required)

Shipping Address if Different:

First Name:

* (required)

Last Name:

* (required)

Name of Person Responsible (in charge):

Daytime Phone No:

- * (required)

Evening Phone No:

FAX:

Email:

* (required)

Number of Participants:

Tax ID Number or Resale:

Please Select Your Brochure:

Start Date of Fundraiser:

Delivery of Brochures Required by:

Please indicate whether you want:

How did you find us?:

Other:

Rep Account #

(if applicable)

Additional Comments :

Additional Important Information

Please allow us approximately three weeks to fulfill and sort your order and approximately five days for shipping.
Immediately inspect all of the merchandise you receive and report damaged or missing merchandise.
Please return the bottom half of each completed order taker form sorted by class or group. Carefully inspect that all order sheets and money counts are correct and in order.
Please indicate whether you want (A) Prize Program (B) 2% Discount on your order.

If you have any questions please call us at 800-645-6550. Thank you.
E-mail us at Questions@TracyHamilton.com