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Ambassador Material Request Form

Interested in using materials to help "PowerUp" your event? To request specific items, please check the appropriate boxes below.


Note: Requested materials will be provided based on availability and at the discretion of the PowerUp Staff.

*
Name
*
Email
*
Telephone
*
City
*
State
select
*
Description of Event/Activity:
Mascot
Displays




Promotional Materials & Giveaways











Activities & Games













Other (please specify)