Awards Claim Form - The Side-Out Foundation

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Claim Your Banner

Submit the form below entirely to claim.

Step 1 of 2

50%

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?*

It 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 State ZIP Code

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