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.

Check the box below and sign up now!

Question Title

1. Check the box below and sign up now!

Charity Name:

Question Title

2. Charity Name:

Recipient Name:

Question Title

3. Recipient Name:

Email Address:

Question Title

4. Email Address:

Charity Web Site or Facebook Page:

Question Title

5. Charity Web Site or Facebook Page:

Mailing Address for pillowcases:

Question Title

6. Mailing Address for pillowcases:

City:

Question Title

7. City:

Zip:

Question Title

9. Zip:

Phone:

Question Title

10. Phone:

What type of pillowcases do you prefer?

Question Title

11. What type of pillowcases do you prefer?

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

Question Title

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

T