Company Or Group Name *

Company Website *

Number Of People In Your Group Who Will Be Selling *

How Many Flyers/Order Forms Are Required? *

First Name (primary contact) *

Last Name (primary contact) *

Title (primary contact) *

Email (primary contact) *

Password (primary contact) *

Confirm Password *

Phone Number (primary contact) *

Address Line 1

Address Line 2

City

State/Prov/Region

Postal/Zip

Country

First Name (secondary contact - cannot be the same as primary contact person) *

Last Name (secondary contact - cannot be the same as primary contact person) *

Title (secondary contact - cannot be the same as primary contact person) *

Phone (secondary contact) *

Email (secondary contact - cannot be the same as primary contact person) *

Password (Secondary Contact) *

Confirm password *

Please Check The Box Below To Confirm: *

Yes, Our Group Will Be Selling "Naturally Green Vermont Fundraising Products" For Our Christmas Season Fundraiser. We Agree To Submit All Orders And Monies To "Naturally Green Vermont Fundraising". Note To Group Leaders: Payment Is To Be Made In Full Within 15 Days After Shipping From Our Premises. *Individual Orders Require Payment In Full At The Time Of Placing An Order. We Agree To Pay A 2% Monthly Service Charge On Any Amount Over The 15 Days.

Please Check The Box To Acknowledge The Following Message: *

IMPORTANT NOTE: All Groups Must Register No Later Than October 16th, 2025.

Please Check The Box Below To Acknowledge The Following: *

IMPORTANT NOTE: This Fundraising Program Is Only Offered To Customers Residing Within The Continental United States: (Excluding Alaska and Hawaii)

Please Check The Box Below To Acknowledge The Following: *

PLEASE RESPECT THE FOLLOWING: This form is to be used by Naturally Green Vermont Fundraising's existing and potential clients ONLY. Please check this box to submit your email confirming that you are NOT using our affiliate registration form to solicit services of any kind. Thank you! *Solicitation emails will be blocked from our server.

Have you or your group ever participated in our wreath fundraising program before? If this is your first time we will contact you before sending out your materials and welcome packet. *

Thanks for getting in touch!

We appreciate you contacting us. One of our colleagues will get back in touch with you soon!

Have a great day!

Thanks for getting in touch!

We appreciate you contacting us. One of our colleagues will get back in touch with you soon!

Have a great day!

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