World's Finest Chocolate Ballots

Questions marked with an * are required

* Name:

School/Group:

Street Address:

City:

Postal Code:

Phone Number:

Email Address:

Who will run a fundraiser at your school this year? (Select all that apply)

School Wide Campaign

Music Department

Physical Education Dept.

Specific Purpose (ex. Travel)

Who is responsible for organizing the fundraising campaign?

Administration

Parent Committee

Teacher

Student

During the last 12 months which of the following products has your school/group sold?(Select all that apply)