Organization/School: ___________________________________________________________

Fundraising Director: __________________________ School ID#: ______________________

Street Address __________________________________________________________________

City ____________________________ State ________________ Zip Code _________________

Phone (_______)_______________________ Fax______________________________________

Project Start Date: __________________________Project End Date: _______________________

Number of Participants: _______________________Number of Catalogs Needed: _____________

Amount of fund needed: _______________Project used last year: ____________________________

The catalogs will be used for fund raising purposes only. Any unused or not use
catalogs will be returned to Unique Aromas at your expense.

School Official:

Signature: _____________________________ Date: ________________

Fundraising Director:

Signature: _____________________________ Date: ________________