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.

1. Check the box below and sign up now!

2. Charity Name:

3. Recipient Name:

4. Email Address:

5. Charity Web Site or Facebook Page:

6. Mailing Address for pillowcases:

7. City:

9. Zip:

10. Phone:

11. What type of pillowcases do you prefer?

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

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