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To have someone contact you to discuss our online fundraiser in more detail or to set up a hip chix fundraiser, please submit the form below:



* First Name
* Last Name
Phone
* Email
Street Address
City
State
Zip Code
* Preferred communication
* Type of group
* How did you hear of Hip Chix?
How many fundraisers do you do per year?
Which months do you typically fundraise in?
How many people in your group?
Comments / Questions
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