Form Builder

Basic Group Information
- Group Name
- Group Type
- Your Name
- Title
- Previous Customer?
  - Yes
  - No
Home Mailing Address
- Home Street Address
- City
- State
- Zip Code
Group Delivery Address
- Group Street Address
- City
- State
- Zip Code
- Home Phone
- Cell Phone
- Work Phone
- Email Address
- How do you prefer we communicate with you?
  - Email
  - Cell Phone
  - Home Phone
  - Work Phone
- Group Website
Fundraiser Details
- Choose one of our Fundraising Programs
- Add the Simply Shipped Collection?
  - Yes
  - No
  You can add our collection of simply shipped products that ship straight to the home
- Requested Start Date
- Requested Return Order Date
  Generally 2 weeks after the Start Date
- Date to call in your order
- Requested Delivery Date
  Delivery Date should be 3-4 weeks after submit order date.
- Requested Delivery Time
- Checks Payable To
- Number of order forms needed
- Which address should we mail your order forms to?
  - Home
  - Group
- Number of advertising posters needed (1-5)
- Do you want your Name and Phone Number on the order forms?
  - Yes
  - No
- If yes, which one?
  - Home
  - Cell
  - Work
- Number of Participants in your Group
- Reason for the Fundraiser
  Ex: new uniforms, team expenses, new playground etc.
- Incentive Program
- Please use the space provided to write your own customized incentive. We will print this on your form for you:
Special Notes and On-Site Delivery Instructions:
Please let us know how you heard about us. Thank you for your interest in MCM Fundraising, Inc!