Side-Out Award Claim Form "*" indicates required fields Organizer Name*Please do NOT put your school/organization's name here. This should be the name of the person who is filling out the form so that we can contact you regarding your awards.Organizer E-mail*Please do NOT put your school/organization's email here. This should be the email of the person who is filling out the form so that we can contact you regarding your awards. Amount Raised*This total should reflect your active campaign. Do not include $ only include numerical value (ie. 2000).School Name, Club Name, or Group Name*This is the name associated with your campaign (i.e. Monacan High School)Where would you like your awards shipped to?*---Ship to a Residential AddressShip to a School or Business AddressIt is recommended you ship to a residence, but not required.Shipping Contact* First Last Shipping School or Business Name*Example: Monacan High School (for shipping purposes)Attention:*Please put the name of the person at the school or business you would like to deliver to. First Last Shipping Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code