Live Stream Fundraising Sign Up
We are so happy that you would like to support our efforts to provide much needed peer support for First Responders and Veterans!

Please fill out the information below so that we can follow up with you and support your efforts during your fundraiser for Betties Bombers.

If you would like to stream on more than one day please contact us directly at contact@bettiesbombers.org or join our Discord server https://discord.gg/DdzxQUg and we will help you get set up.

We sincerely appreciate your support, thank you!

If you are looking to join our Stream Team please go here https://forms.gle/2xwY9JJu7XEgFsfz5
Fundraiser Information
Discord Handle *
Your answer
Email Address *
Your answer
When is your event? *
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/
DD
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YYYY
What time does your event begin? *
Time
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What time does your event end? *
Time
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What time zone are you in? *
Please indicate the time zone you are in so that we can make sure to support your stream
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What is the link to your stream channel? *
Your answer
What is the link to your Twitter or Facebook account? *
Your answer
Is there anything else we need to know about your event? *
Your answer
Rewards Information
If you reach $500 in donations, we will send you an official Betties Bombers #BOMBTHESTIGMA shirt! Please let us know where we can send it and what size you would like.
Full Legal Name (First, Last) *
Your answer
Phone Number *
Your answer
Street Address *
Please include street address, city, state and zip code. No PO Boxes please.
Your answer
Shirt Size *
Sizes available are Small through 4XL only
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