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HELEN ORTIZ

Organization Registration
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Tax Status
Tax Exempt:*
Sales Tax Exemption Form Issued By:*
Organization Information
Organization Type:*
Organization Name: *
Checks for online orders will be made payable to Organization Name.
Organization Address: *
Auto assigned designer: Not your Designer?
Designer: HELEN ORTIZ
SAN JOSE,CA
Phone #: (408)923-5121
Email: helensfiesta@aol.com
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Organization Address Continued:
City:*
State:*
Zip Code: *
Telephone Number:*
Email Address:*
Number of Sellers:

Contact Information:
Contact First Name:*
Contact Last Name:*
Contact Title (ex. Coach,Sponsor,PTA President):*
Same As Above
Contact Telephone Number:*
Contact Email Address:*

Interest:
When would you like to conduct your fundraiser?* to
How did you find our website?
Questions or Comments
Would you like to setup an online fundraiser in addition to your face-to-face brochure sales?
Preferred Username:* Minimum 6 characters, letters & numbers only, no spaces.
Password:*
Confirm password:*
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Campaign Name
Online Closing Date
Online Closing Date closes entire fundraiser. Be sure to get your in-person orders submitted before Online Closing Date.


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