Trash Bag Fundraiser Participation Form

    Organization name: (Please enter your group name exactly how you want it to appear on your personalized sales material.)

    Ship my FREE sales material to: (Organization/Company/Name)

    Contact person:


    Street address:

    Suite/Room/Floor if applicable:

    Ship to contact e-mail:

    Ship to address is a:

    Billing contact person:


    Billing address:

    Suite/Room/Floor if Applicable:

    Best time to call:

    Billing contact e-mail:

    Choose a fundraiser type:

    Product delivery option (brochure sales):

    Fundraiser start date:

    Expected end date:

    Number of participants/sellers:

    Your Retail Selling Price per Roll: (You set your own retail selling price.)

    Make checks payable to: (Your supporters shall make checks payable to your organization, not Poly Bag Central.)
    If you do not accept checks, enter “Cash Only”.

    Ohio residents must have a Tax Exemption Certificate or Resale Exemption Certificate filed with Poly Bag Central to be exempt from sales tax on items purchased. All other participants are responsible for any local or state sales tax.

    Your name as authorized agent (the client):

    Your email:

    Your title:

    Today's date:

    Client agrees to participate in designated Fund Raiser and make all payments to the order of Poly Bag Central, 20110 State Route 327, Ray, Ohio 45672. In the event that Client cancels the Fundraiser after sales material has been shipped, client agrees to pay a fee of .50 cents (USD) per sales packet, plus shipping and tax (if applicable). Client agrees to pay listed wholesale price per item ordered, plus shipping and tax (if applicable). I certify that I am the leader responsible for this organization; I am over 18 years of age, and I can be contacted at the address and phone numbers provided above. I personally guarantee that either the organization I represent or I will pay all invoiced charges.

    Poly Bag Central

    20110 State Route 327, Ray, OH  45672

    Phone: 866.884.2221 ● Fax: 740.887.2249


    Your source for trash bag fundraising!