Mini Cheer Bag Request Form
Please fill out the form below to request mini Cheer Bags. You can choose from a standard or bereavement option below.
Name
*
First Name
Last Name
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Type of Mini Cheer Bag Requested
*
Standard Cheer Bag
Bereavement Support Bag
Quantity of Mini Cheer Bags Requested *Limit 10*
*
Would you prefer to pick up the Mini Cheer Bags or have them mailed to the address above?
*
Pick Up
Mailed
Please select your first, second, and third choice of dates to pick up the Mini Cheer Bags at the Thumbs Up Office in Elk River. Pick up is available Monday-Thursday, 9am-5pm.
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Month
-
Day
Year
Date
-
Month
-
Day
Year
Date
-
Month
-
Day
Year
Date
Optional donation to support this program:
prev
next
( X )
Donation
$10.00
$
10.00
Quantity
1
2
3
4
5
6
7
8
9
10
Donation
$25.00
$
25.00
Quantity
1
2
3
4
5
6
7
8
9
10
Donation
$50.00
$
50.00
Quantity
1
2
3
4
5
6
7
8
9
10
Payment Methods
Debit or Credit Card
Choose from one of the PayPal options to
make your payment.
Submit
Should be Empty: