Blue Heron Ent., Inc.- Profitable Discount Cards

Questionnaire

(All Fields marked with an * are requried)

*What is the name of your organization?

*Briefly explain what your organization does.

*How many members are in your organization?

*Briefly explain your need for fundraising and your organization's dollar goal.

*Who will be the main contact person for your organization’s fundraiser? Please provide the best contact telephone number & email address for this person.

*First Name:
*Last Name:
*Address:
*City:
*State:
*Zip Code:
*Email Address:

*How did you hear about us?

If someone has referred you to us, please provide their full name, organization, and contact number.

*Enter Text Below: