Which Funtastik Labs Location?
*
Please Select
Funtastik Labs Katy (615 S. Mason Rd., Katy, TX 77450)
Funtastik Labs Sugar Land (13741 Southwest Fwy, Sugar Land, TX 77478)
The Reward Code will only be active for the location selected (Limit one location per school)
Desired Expiration Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date by which you would like the code to expire by
School/Organization Name
*
If more than one school exists with the same name, enter the complete name.
School District
*
Put N/A if not applicable
School/Organization Physical Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Use this address for payments also
Payment Address (Where earned funds will be mailed)
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Code Recipient (Person to whom the code will be sent)
*
First Name
Last Name
Recipient's Title (Title of the person receiving the code)
*
Teacher/VP Fundraising/PTA President
Code Recipient's Email
*
Confirmation Email
example@school.com
Code Recipient's Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Requested by (Name of the person filling this form)
*
First Name
Last Name
Requested by Title (Title of the person filling this form)
*
Teacher/VP Fundraising/PTA President
Code Requested By Email
*
Confirmation Email
example@school.com
Submit
Should be Empty: