PJammin® for Kids with Cancer: Event Registration

Hosting Organization Information

Organization/Host Name:

Organization Type:

Shipping Address (address items are getting shipped to)

City

State

Postal Code

Primary Contact Information

First Name

Last Name

Primary Email

Preferred Phone

PJammin® Event Details

Event Date:

Organization address is different than address listed above

Alternative Shipping Address

Address

City

State

Postal Code

Please select the complementary awareness item(s) that you would like to receive for your event

*If requesting awareness items, please register your event a minimum of 2 weeks in advance to allow time for processing and shipment. Items requested less than 2 weeks in advance are not guaranteed to arrive before your event.*

Item

Quantity

Number of Teachers (if applicable):

Is this event being held in honor or in memory of someone?

Tribute Name

Have you hosted a PJammin® event in the past?

Fundraising for ACCO

Are you fundraising for ACCO during this event?

Yes No

Do you need a custom flyer for your fundraiser?

Yes No

Do you need the flyer in other languages?

Custom flyers will include your logo/branding, a QR donation code, URL and photos if applicable!

Do you need a custom donation page for your fundraiser?

Yes No

Donation pages will include a progress bar and a video!

Photo/Logo Uploads

OPTIONAL: Include a photo of honoree or a business logo.

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Please provide detailed information about your event:

I agree to the terms and registered trademark uses.

Contact Information