High Fives for Easterseals: Fundraiser Form
Sign on to tell your relatives, colleagues and social network how much Easterseals DuPage & Fox Valley means to you. Motivate them to give back in honor of a personal achievement or occasion.

Is your occasion still a few months away? Fill out this form to pledge your commitment to fundraising for Easterseals this year. As the date of your event gets closer we'll reach out with reminders, tools and tips to help set up your fundraiser.

Email address *
Full Name *
Your answer
Phone Number
Your answer
Fundraising Occasion
Online Fundraiser Launch Date
MM
/
DD
/
YYYY
Questions/Comments
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms