REQUEST FOR INFORMATION

Please fill out this form and click on the programs for which you would like to receive information. We'll get a packet right out to you.

Name:

Title:

Organization:

Number of members/students in my group:

Address:

City:     State: Zip:

Phone:    e-mail address:

Program(s) I am interested in:

(use ctrl/click to select each program you are interested in:

  Beef Snacks Books Candles Chocolate Bars Chocolate, Candy & Nuts Order Takers Coffee & Beverages Cookie Dough Mix Cookie Dough, Cheesecakes Dining/Omaha Steak Cards Fantasy Sports Cards Fruit Snacks Flower Bulbs Fudge Gift Brochures Gift Cards Holiday Shops Jewelry Lollipops Magazines Pies & Cakes Pizza and Snacks Scracthcards Smencils       

Please indicate one or more, below, so that we may best serve your needs:

(use ctrl/click to indicate your interest)

  I have specific interest in raising funds with one of these Kids Korner Albany programs. My group needs to start this fundraiser asap. I am just collecting brochures, at this point       

info needed by:

 Comments:

Best time(s) to reach me: