Fundraising Wash

Organization's Full Name:
Contact Name:
Has your charity used the Blue Iguana Wash Program before?
- Yes
- No
Non Profit Tax I.D. Number:
Organization Phone Number:
Organization Mailing Address:

Street Address

City

State

ZIP Code
Email
What month would you prefer to hold the fundraiser?
If that month is not available, what is your second choice?
Please choose the wash location where you would like to host your fundraiser.*
Please upload the logo you would like to use to promote your campaign.*
Accepted file types: jpg, png, pdf.
We will design and provide an email friendly flyer for your organization. Please check your email within the next 7 days.
CAPTCHA

This iframe contains the logic required to handle Ajax powered Gravity Forms.