Green Bee Fundraising

Organization: *
Your Name: *
Title:
Address: *
City: *	State: *
Zip: *
Home Number: *
Work Number:
Cell Number:
FAX:
Email Address: *
Shipping Address the Same as above: Yes No
Shipping Address:
City:	State: Zip:



				Use the chart to help determine when you would like to run your program. Then select the number of weeks and which time period you would like to participate in below. You can also create your own program for any number of weeks 1-17. Click on the Custom button and enter your Start Week and End Week. You can run 5 week programs, all the way up to 17 week programs. The choice is yours.

First 5 Weeks Last 10 Weeks Last 8 Weeks Last 5 Weeks
	Custom	Start Week:	End Week:	Total Weeks:

TICKETS	COST	SHIPPING/HANDLING	TOTAL
4,960	$485	$75	$560
3,500	$395	$65	$460
2,500	$340	$55	$395
2,000	$315	$50	$365
1,500	$290	$45	$335
1,000	$225	$35	$290

Select the number of tickets you would like to use for your fundraiser. If you have any question about how many you may need, please contact us by calling direct to our toll free number 1-877-257-3777.


The values below are from a suggested prize breakdown based on $2,500 total prize giveaway. You are welcome to create your own. If you would like some assistance, please call us at 1-877-257-3777.
Highest Point total		Lowest Point Total
2nd Highest		2nd Lowest
3rd Highest		3rd Lowest
4th Highest		4th Lowest
5th Highest		5th Lowest
6th Highest
7th Highest
8th Highest

Total Weekly Prizes
Number of Weeks
	---------
Total Prizes

	Organization Name as you would want to appear on your tickets (Up to 3 lines):


	What colors would you like to see on your tickets?:


	How would you like Green Bee Fundraising, LLC to handle you organizations logo?
	We will be mailing the artwork
	Artwork will be e-mailed to info@GreenBeeFundraising.com
	We would like Green Bee Fundraising, LLC to design the logo
	Please describe the logo or mascot below if you would like Green Bee to Design this for you:


	When would you like your tickets to be delivered (Date): Please allow 2-3 weeks for delivery
	Month: Day: Year:

	Would you like to add an advertisement or coupon? Some organizations use this option to have a sponsor advertise on the tickets. Donations by the sponsors can help your organization with the printing costs of the tickets.
	YES If YES, what goes on the stub?

	NO

	Would you like to be able to sell the Discount Card online? This free service allows potential buyers the chance to purchase a Discount Card online without the need of a physical ticket.
	YES NO

	Do want to link directly from your website to the sweepstakes results web page? This option allows you to drive traffic to your organizations website. You will place a link on your site that will direct the fundraising traffic from your site to the results page.
	YES NO
	If YES, what is your web address?

	Webmaster's Name
	Phone Number
	Email

	Notes and Additional information::


		Our organization wants Green Bee Fundraising, LLC to develop the winners list and congratulatory letters each week. We will remit $4.00 per Discount Card sold after we reach our prize money. We will return all stubs filled out in numerical order to Green Bee Fundraising, LLC. Green Bee Fundraising, LLC will develop our winner's list and congratulatory letters weekly. Green Bee Fundraising, LLC will also post the winner's list on our website weekly. Green Bee Fundraising, LLC will also post the team results on the website.
or
		Our organization agrees to remit $3.50 per Discount Card sold to Green Bee Fundraising, LLC., after we reach our prize money. We will keep $6.50 per ticket sold. We will also return any unsold tickets to Green Bee Fundraising, LLC at this time. Results will be posted weekly by Green Bee Fundraising, LLC with the winning ticket numbers, teams, and the total number of points scored.