Client Registration Business or Client Name * Business or Client Name is required Contact Name * Contact Name is required Email * Invalid Email, proper format "email@example.com" Email is required Phone Job Title Enter your job title. Department Pick Your Sales Consultant * Shelly Hendricks Steve Martin DeOmri Cockrell Darryl Carnley Sharene Campbell Colton Carnley James Trent Pick Your Sales Consultant is required Address * Street Address Address is required Additional Address Only need to fill out if you have additional lines to your address. City * City is required State * AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY State is required Zip Code * Zip Code is required Cell Phone Website * Website is required What Fundraising Package (FRP) are you interested in? * Package A (Mission Trip) $10 towards your mission trip Package B (Funds for a Project) $8 towards your project Please select one package. What Fundraising Package (FRP) are you interested in? is required Start Date for your My360Project Fundraiser * Please select the date that your fundraising project will begin. Start Date for your My360Project Fundraiser is required Choose what FRP Timeline you prefer * 60 Days 90 Days 120 Days 150 Days Note: Your Sale Consultant will verify your 30 Day PO deadlines based on your fundraiser start date and preferred timeline. Choose what FRP Timeline you prefer is required Username * Username is required Password * Password is required Confirm Password * Confirm Password is required Strength indicator >> HINT: The password should be at least seven characters long. To make it stronger, use upper and lower case letters, numbers and symbols like ! " ? $ % ^ & ). Send this password to email? Check to Enable I agree to the terms and conditions. Terms/Conditions Terms/Conditions is required —-PLEASE REMEMBER TO WRITE DOWN YOUR PASSWORD— .