Fundraiser Order Form

Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

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Would you like a *

DIY Kit

Custom, Done-For-You Order

3 Color Choices for Paint *

Red

Blue

Yellow

Brown

Orange

Black

White

Turquoise

Tan

Pink

Purple

Grey

Gold

Green

Navy

Would you like light or dark colors? *

Light

Dark

Who told you about this fundraiser? *

First Name

Last Name

Payment Method *

Cash

Check

PayPal

Venmo