Registration

Username*

Email*

First Name

Last Name

Store Name*

https://goodtroublegourmet.com/fundraiser/[your_store]

Address 1*

Address 2

Country*

City/Town

State/County

Postcode/Zip*

Store Phone*

Hosting Organization*

Are you an authorized representative of the Hosting Organization?*

Authorization

About the Organization (Group Only)

Logo

Banner (Static or Video) Group Only

Purpose Statement

Fundraising Program*

Preferred Start Date (Group Only)

Days to Fundraise

Fundraising Goal*

Estimated Active Sellers (Group Only)*

About You (Individual Seller Only)

Affiliate Photo (Individual Seller Only)

Email*

Contact #*

Referred By

Password*

Confirm Password*

* Agree  Terms & Conditions

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