Distributor Reservation Page

Reserve

Email Address *

School Name *

Shipping Address *

City *

State *

Zip *

Sponsor Name *

Sponsors Home Phone

Sponsors Mobile Phone *

Treasurers or Assistants Name *

Treasurers or Assistants Email

Treasurers/Assistants Home #

Treasurers/Assistants Mobile # *

Principal's Name *

School Phone *

School Fax

Sales Representative (if known)

Sale Start Date *

Sale End Date *

Kit Arrival Date *

Number of Students *

Signing Bonus Choice (some restrictions apply)

How did you hear about My Holiday Fair?

Last year's holiday shop sales $ (if known)

Type Sponsor name as an approval signature *

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1522 Main Street
Anderson, IN 46016

877-842-0624