Samko Miko Toys

Fundraising Program Registration

 
You may register online by filling out the form below or via fax by submitting this downloadable form.


Online Registration Form

Cheque Payable to:
Fundraising for:
Contact Person: *
Phone: *
Fax:
E-Mail: *
Address:
City:
Province:
Postal code:
No. of Flyers:
RETURNING GROUP
Yes No

GROUP ACCOUNT NO.


BUS GROUP
Yes No

If yes, No. Buses:

Date / Time:
FUNDRAISING WEEK: FOR TORONTO & RICHMOND HILL ONLY
 
WEDNESDAY
Month: Day:
TO SUNDAY
Month: Day:
 
WEDNESDAY
Month: Day:
TO SUNDAY
Month: Day:
PLEASE NOTE :
Groups may choose any week for Fundraising
OTTAWA Fundraising available from NOVEMBER 7th - 16th
LONDON Fundraising available from NOVEMBER 21st - 30th