Pre-Order Program Start-up Packet Request Form Call (800) 859-5170 or Fax to (574) 234-1318
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Date: ___________________
Organization: ______________________________________________________________________
Contact Person: _________________________________ Phone: ______________________________
E-mail Address: ___________________________________ Fax: ______________________________
Shipping Street: ______________________________________________________________________
Address
City: ______________________________ State: ______ Zip Code: ______________________
# of Packets Requested: _______________ (one per student / club member)
Individual Packet Includes:
Triplicate Order Form / Product Detail Sheet
(pictures, pricing and information about all products)
Money Collection Envelope
Worthy Cause Fundraising Pet Products, Ltd. 141 East Cripe Street South Bend, IN 46637 USA (800) 859-5170 Fax (574) 234-1318 www.WorthyCauseFundraising.com Email: WorthyCausePet@att.net
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