Gateway Web Portal
New Mispack Form
Organization Name, School, or Team name
Team, Room, Grade, or Teacher # (if applicable)
Seller Name (first & last)
Count of Items Received
Count of Items Ordered
Did your order come with extra items?
Yes, the order had extra items
No extra items were included
Was your order missing items?
Yes, items were missing
No items were missing
Description of extra or missing item(s) (if applicable)
Form Submitter's Phone # (adult only)
Form Submitter's Name (adult only)
Form Submitter's Email
I confirm the above information is accurate to my knowledge. I grant Gateway Fund Raising permission to contact me (only in relation to this issue).