Fundraisers for your school, church, sports team or other nonprofit organization

Fundraising Agreement
and Participation Form

> PRINTABLE FORMAT

Please complete all fields of this form and submit it.

Organization Name:

# in Group:

Contact Person:

Shipping Address:

City:

State:

Zip:

Home Phone:

Work Phone:

Cell Phone:

Best Way to Contact:

Fax:

E-Mail:

Billing Address:

My billing address is the same as above.

Address:

City:

State:

Zip:

Fundraising Item(s):

M&M/Mars
M&M/Mars Big 4 Variety	cases
Hershey's
$2 Hershey's Fundraising Asst.	cases
Hershey's Candy Shoppe™ Chocolate Town™ Plus	cases
Hershey's Candy Shoppe™ Max	cases
Van Wyk
$2 Van Wyk Ultimate Variety Pack	cases
$2 Van Wyk Confections Chocolatiers	cases
Van Wyk Confections America's Variety	cases
Van Wyk Confections United We Stand	cases
Van Wyk Confections Straight Case Specify type	cases
Chocolate Pops & Lollipops
$1 Chocolate Peace Pop	cases
Starlyn's Chocolate Pops Specify type	cases
Van Wyk Confections Shockwave Sour Pops	cases
Van Wyk Confections Créme de la Créme Fruit 'n' Cream Pops	cases
Gourmet Carousel Rounds Lollipops	cases
ColorBlaster Lollipops	cases
Other
Impact Confections Warheads Specify type	cases
Welch's Fruit Snacks	cases
Jack Link's Beef Snacks Specify type	cases

Start Date:

Profit %:

Terms:

Check Credit Card Money Order
30 Day Terms (must be prequalified
CREDIT APPLICATION or LETTER OF INTENT

Credit Card Number:
Expiration Date:
Name on Card:

Comments and Special Requests:

Terms and Conditions:

Contact Person must be 18 years of age or older and does hereby represent and warrant that he/she is duly authorized by the participating organization to enter into this agreement on behalf of the organization. This is a binding contract.

This Agreement is made on this date between Resource Solutions and Participant. Resource Solutions agrees to provide the requested fund-raising items to Participant. Resource Solutions will pay for all shipping and handling of items ordered. Any merchandise that is damaged or missing will be replaced or refunded. Any merchandise that is discontinued, sold out or backordered will receive a full refund on cost of item if a suitable substitution is unacceptable. Any claim on damaged candy must be made within 10 business days. Any cancellation of order after receiving candy will still be charged. Fund-raising candy may not be returned.

Participant agrees to terms set forth and to pay invoice due to Resource Solutions upon order. 30-day terms are available to pre-qualified customers only. Participant agrees to accept full responsibility for all fund-raising items ordered and agrees to minimum order requirements as specified. Participant also agrees to sell items and pay Resource Solutions the amount due for each item sold with Mastercard, Visa, Discover Card, check, money order or a cashier's check. Personal checks may be held 7-10 working days. Any invoice not paid in full within 30 days of invoice due date will be charged interest plus any additional charges, interest or fees required to collect money due. 1.5% interest per month is charged on any invoice over 30 days (minimum $5.00 per month).

Kansas residents must have a Tax Exemption Certificate or Resale Exemption Certificate filed with Resource Solutions in order to exempt participant from sales tax on all fund-raising items purchased. Candy fundraisers may be subject to sales tax in CT, FL, SD, MD, MS, OK, and RI. All other participants are responsible for any local sales tax.

I agree to the terms and conditions as set forth above.

I would like to receive e-mail updates of new products and specials.

Contact Person:

Participant Title:

Today's Date:

PLEASE NOTE: Print this page for your records BEFORE you submit this form.

P.O. Box 1513 • Wichita, KS 67201-1513
1-800-642-0780
316-262-0780
Fax 316-262-7169

WE ACCEPT:
credit cards

CONTACT:
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Fundraising Agreement and Participation Form

Fundraising Agreement
and Participation Form