Name *

First Name

Last Name

Phone *

(###)

###

####

Campaign Type *

Own Cause (All of the profits will go to you or an organization of your choice)

Student Sponsorship (All profits go to sponsor a child to attend school in Uganda)

Clean Water (All profits go to providing access to clean water for villages in Rwanda)

Socks for Legs (All profits go to providing legs to amputees)

Best of Both (Split the profits between 2 causes)

Custom Stadium Blankets

Leg Recycling Program

When would you like to get started *

MM

DD

YYYY