I am ordering for (choose one):

Use this form if you are registering on behalf of an organization or faith-based group.
Collection boxes for Key Club and Kiwanis family members will be available in late summer. Contact campaign@TheEliminateProject.org or visit TheEliminateProject.org to order.

Please check the following fields:

    * Indicates required field

    How many will be participating?

    How will you collect donations?

    Enter your contact information:

    Provide your shipping address

    Click here if you are ordering as a school club or group.
    Click here if you are ordering for Key Club or Kiwanis.
    Please use full name of your organization.

    Do you have any special instructions, comments or other requests?

    *Note: Please use fields above to make any changes to your shipping address.