Contact Us
ITI FUNDRAISING REGISTRATION FORM
REPRESENTATIVE INFORMATION:
Name: Donald R. Shickle
Team No.: 159261
Website: www.letsgoiti.com
Email: doitnow@hvc.rr.com
ORGANIZATION INFORMATION:
Organization:___________________
Contact: ___________________
Address:________________________
Federal Tax ID No.______________
Social Security No.:____________
Telephone No.:__________________
Facsimile No.:__________________
E-Mail Address:_________________
This program will allow our Representatives to promote and facilitate anyone interested in raising funds while simultaneously
offering savings through our awesome products and services.
Send form to:
Shickle Enterprises
16 Hill St.
Newburgh, NY 12550
Attention: Don Shickle
Or via Facsimile: 845-562-3744
NOTE: To ensure timely processing, please be sure to enter the Federal ID number, or Social Security Number, and a complete address. We will be unable to process this form without it.
You can expect a reply within 72 hours after receipt of your form.
For Office Use Only:
Fundraising ID No.:______________
Provisioning Agent:______________
