Fundraiser Request

After completion of this form, a member of the Orlando Health Foundation team will contact you with final details.

Name*

First Name

Last Name

Email Address*

Notification of online donation will be sent to this email

Title for your donation form: (i.e. Help me raise funds for pediatric cancer)*

When do you need this form by?

Upload photo to be used as the main donation form header image (large/high resolution preferred; all photos subject to review)*

No File Chosen

File uploads may not work on some mobile devices.

Donation form description: (1 – 2 descriptive paragraphs to explain the motivation for the fundraising effort, provide background, etc. Include mention of a particular GOAL you may have or timeline, i.e. Johnny hopes to raise $500 to support childhood cancer and help raise awareness for this curable condition.*

Autoreply Text: (1 – 2 sentences which you would like to have included in the immediate autoreply a donor receives upon making a donation; an eletronic donation receipt will be provided to each donor)*