Fundraising Request Form (Southeast Surge)

Fundraising Request Form

All Fundraising Requests must be pre-approved by the Fundraiser Director - any questions can be directed to [email protected]

Event Information

please provide your information

Team^*

Required

Event Date

Event Description

Lottery License Required

NoYes

Contact Information

Provide the contact info for the event coordinator

Name^*

Required

Email^*

Required

Example: [email protected]

Cell^*

Required

Example: ###-###-####