*Contact Name *Organization *Email Address *Day Time Contact Number *Street Address Evening Contact Number *City *Best Time To Call *State - Please Select - Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Washington, DC West Virginia Wisconsin Wyoming   Fax Number *Zip   Please Tell Us More About Your Fundraiser! *Please select the program(s) you are interested in. Jar Candles     Football Candle      Discount Card Wreaths          All Programs *How many participants in your fundraiser? *What is your monetary goal? *What is the starting date of your fundraiser? 1 2 3 4 5 6 7 8 9 10 11 12 / 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 / 2007 2008 Please add any additional information, comments or questions you may have. How did you hear about Angel Lite Fundraising? - Please Select - Internet Friend Family Flyer Other Contact us for more information or for more order forms.                     Phone: 219-644-5320                     Fax: 484-423-2346                     Email: fundraising@angellitefundraising.com
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