Smart for your wallet. Smart for your world.™
You are now signing up to run a COEJL Earth Aid Kit Campaign in your community. Within two or three days of your completion of this form, we will create a custom campaign website for your community - complete with customized order forms and other materials for you to use as you see fit in your community.

We look forward to working with you!

Please proceed to fill out the form below.


Your Community
Who are you running this campaign on behalf of?


Name of Your Community:
What Should the Address of Your Campaign's Site Be? http://coejl.earthaidkit.com//
What Type of Community Is This?
Congregation Jewish Community Center
Jewish Federation JCRC
Youth Group COEJL Chapter
Other Congregation Group Other Organization
Where is the community located?
City State/Province


The Community Contact
Who is your community's point-of-contact(s) for this campaign? This name(s) will be listed on your campaign site. You need to have at least one, and you can have up to three.


Primary Contact Name:
You are required to have a primary contact
Contact Information:
Phone Email
Secondary Contact Name:
It's optional to have a secondary contact
Contact Information:
Phone Email
Tertiary Contact Name:
It's optional to have a tertiary contact
Contact Information:
Phone Email
Would you like us to post the email addresses you have provided, or should we create a new address @earthaidkit.com for you?
Use Our Address(es) Create An Address for Us
If applicable, what would you like your campaign address to be?
@earthaidkit.com
What phone number can people reach your campaign at?
What is the mailing address for the campaign?
You are required to have a mailing address. Participants will send order forms to this address - and we'll mail checks to you at this address.


The Campaign
What sort of campaigns will you be running? We'll prepare your site accordingly. While we ask that you try to be as accurate as possible now, you will be able to change all these details after your site is created.


Check the Campaigns You Expect to Run:
Allow people to make immediate orders direct to us over the site. You'll run a 'Group Buy' by collecting order forms from your community to put together a large order. You also have some new/additional ideas for a campaign.
If you will be coordinating a Group Buy, what will be your first cut-off date for orders?
If you will be coordinating a Group Buy, would you like to:
Make the lowest possible prices available for your campaign participants.

Increase prices for your program by approx. 10% so your group order raises more funds for your organization. 100% of such a mark-up will go directly to your organization.

Increase prices for your program by approx. 25% so your group order raises more funds for your organization. 100% of such a mark-up will go directly to your organization.

Maintain the standard shipping charge of $5 for all orders.

Increase the shipping charge to $7.50 for all orders. 100% of any increase will go directly to your organization.

Increase the shipping charge to $10.00 for all orders. 100% of any increase will go directly to your organization.

on 3/20, option will be added here to note whether orders will be delivered direct from Earth Aid or there will be a community distribution
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