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?*
If you are not an authorized agent, please share the first and last name for the appropriate person.
About*
Purpose Statement*
Fundraising Goal*
Fundraising Program*
Estimated Active Sellers*
Preferred Start Date*
Contact #*
Referred By
Password*
Confirm Password*
* Agree Terms & Conditions
