Name of Club: *
Club Address:
Phone Number:
Email: *
Key Contacts: 1.
2.
3.
Yes, I am very interested in conducting a fundraising event for Augie’s Quest/Clubs for the Cure effort.

Fundraising Effort

Fundraising Goal


I need more assistance in conducting my event.

No, I am not interested in conducting a fundraising event. However, I would like to learn of other ways that myself and my club can become involved with Augie’s Quest/Clubs for the Cure effort.