Host Committee Sign Up
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First Name *
Last Name *
Phone *
Email *
Why are you excited to support PNHP-NY Metro by joining the Virtual Gala 2020 Host Committee?? Your response could be featured on your personal fundraising page.
Your Host Committee Fundraising Goal
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What kind of support will you need in order to reach your fundraising goal?
Is there anything else you would like to tell us?
Once you submit this form, an organizer will contact you within 48 hours about next steps to get started recruiting friends to donate and to join you at the Virtual Gala on Tuesday, December 1! Thank you!
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This form was created inside of Physicians for a National Health Program.