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Fundraising Page Information
Campaign Title
*
Page Link
*
https://fundraise.shatterproof.org/campaign
/
Campaign Date
*
Show a date for your campaign on your fundraising page.
Fundraising Goal
*
$
Jump Start Your Fundraising!
*
Yes! I am taking the first step towards reaching my goal by making a personal donation toward my fundraising.
Not at this time.
Donation Amount
*
$
Registration Questions
What is the primary way addiction has impacted your life? (optional)
[Select...]
I love someone with addiction
I have lost someone I love to addiction
I am a person in recovery
I am supporting someone in recovery
I don't have a personal connection to the cause, but I want to help
What is your sobriety date?
(ex: mm/dd/yyyy)
How did you hear about Shatterproof?
*
[Select...]
Social Media
Friend or Family Member
Local Media
I have participated in a Shatterproof event
Other
The company I work for supports Shatterproof
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