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Crowdfunding Application

1CROWDFUNDING INFO > 2END-USER AGREEMENT
Campaign Leader Contact Info
Name Name First Last
M#
Email
Phone Phone - ### - ### ####
Affiliation with Millersville University
Group/Organization/Department/Athletic team
What is your role within your dept/org/team?
Division/Dept Head Name
Title
Email
Phone Phone - ### - ### ####
Campaign Information
Campaign Title
Campaign Purpose- What are you doing (your project’s focus):
Fundraising Goal:

campaign application with a fundraising goal of above $10,000 will require additional discussion
By what date is the money needed? By what date is the money needed? / MM / DD YYYY
Do you need Millersville to create an account for you?

Do you need Millersville to create an account for you? Yes No - an account has already been created
Account/Fund deposit information for contributions: *Include name of account and contact information of Account Manager
List all departments, organizations, or groups that will be affiliated with the project campaign:
Who is your prospective target audience? Who will you ask for contributions?:

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