Fresh Roasted Fundraiser
Fund-raising Registration Form

Welcome to the Madawaska Coffee Co. Fundraising Program. Our program is low risk, customizable and has the ability to have an extremely fast execution time (3 weeks start to finish from time of application).

Please fill in the information in the required* fields below. Completed forms will be reviewed and responded to within 24-48 hours.

Type of Organization *
Name of Fundraising Event: *
Your answer
Campaign Start Date: *
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YYYY
Campaign End Date: *
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YYYY
Organization Information
Please complete this section with information for the organization fundraising campaign is being executed for ie: school, not-for-profit group, club or workplace.
Organization Name: *
Your answer
Mailing Address: *
Your answer
City: *
Your answer
Province: *
Your answer
Postal Code: *
Your answer
Phone Number: *
Your answer
Email: *
Your answer
Website:
Your answer
Fundraiser Coordinator
Please provide the following information as a point of contact and correspondence regarding campaign
Coordinator Full Name: *
Your answer
Phone: *
Your answer
Email: *
Your answer
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