Fundraisers Your Information Your Name * First Name Last Name Primary Email * Phone * (###) ### #### Organization Information Organization Type * Band Charitable Organization Cheerleading/Dance/Gymnastics Chorus/Choir Club Educational Institution Religious Group Sports Team Other Purpose of Fundraiser * Proposed Date * MM DD YYYY Organization Name * Organization Website or Social Link * Tax ID * Organization Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Opt-In for News and Offers? * Yes No How Did You Hear About Us? Social Post Email Search Engine Website Physical Location Representation * I CERTIFY THAT I REPRESENT THE ORGANIZATION APPLYING TO PURCHASE CERAMICS ON WHEELS FUNDRAISING PRODUCTS, THAT I HAVE READ THE ACCOMPANYING QUALIFYING REQUIREMENTS, THAT THE ORGANIZATION MEETS THE GUIDELINES AS STATED, AND THAT ALL PROCEEDS FROM THE ORGANIZATION’S CERAMICS ON WHEELS FUNDRAISER WILL FULLY BENEFIT THE PURPOSE STATED BELOW. I Agree Privacy * I agree to the CERAMICS ON WHEELS Program Terms and Conditions and consent to the CERAMICS ON WHEELS Privacy Policy I Agree Thank you for your submission! Please click here to purchase the items for your fundraiser.