Charity Submission

If you would like your charity listed on the One Million Pillowcase Challenge Charity List, please fill out the required information below.

Allow 4-6 weeks to be added to the list.

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1. Check the box below and sign up now!

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2. Charity Name:

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3. Recipient Name:

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4. Email Address:

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5. Charity Web Site or Facebook Page:

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6. Mailing Address for pillowcases:

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7. City:

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9. Zip:

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10. Phone:

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11. What type of pillowcases do you prefer?

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12. Where will the pillowcases be used or who will be receiving the pillowcases?

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