Make March Matter - Become a Partner | Children’s Hospital Los Angeles

Business Name*

Please list name exactly as you would like it to appear in promotional materials.

Prefix*

First Name*

Last Name*

Email*

Phone Number*

Street Address*

Address Line 2

City*

State*

Postal / Zip Code*

Country*

Website

Facebook

Instagram

Twitter

Would You Like to View the Partner Benefits? (Optional)

Would You Like to View the Partner Benefits

Fundraising Goal*

Your total fundraising goal for all participating locations.

How Will You Fundraise? (You may select more than one.)

How Will You Fundraise?*

other input text for "How Will You Fundraise"*

Dates of Promotion

Dates of Promotion*

Dates

Please specify when you will be fundraising throughout the month.

Number of Participating Locations

Number

Online Only

Please describe your fundraising activity in detail

Description message*

Please include specific dollar amount, percentages, etc.

CHLA Staff Contact

If you have been working with a CHLA contact, please select your contact here.

Become a Partner