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Northwell Veterans My Dedicate Fundraiser
Thank you for setting up a fundraising campaign for Northwell Health’s Side by Side: Supporting our Vets program. Please complete the following questions to activate your campaign.
Fundraising Page Information
Campaign Title
*
Page Link
*
Text entered in this field will be used as the final portion of your page's URL.
Custom page link requirements: only letters, numbers, dashes, or underscores.
Your page link:
https://www.northwellveterans.org/campaign
/
Campaign Date
*
Show a date for your campaign on your fundraising page.
Fundraising Goal
*
$
Make a Donation
*
Yes! I’d like to make a donation toward my fundraising goal.
No thanks.
Donation Amount
*
$
Registration Questions
Date of Birth
*
(ex: mm/dd/yyyy)
Are you a Northwell Health Employee
*
[Select...]
Yes
No
For what occasion are you dedicating funds?
*
[Select...]
Birthday
Wedding
Funeral
Other
If you selected “Other” as your dedication type, please explain here
Do you want to host an event in association with your dedicated occasion?
*
Yes
No
Do you want to sell tickets to your event
*
Yes
No
Not Applicable
Which of Northwell Health Veterans Services area interests you most?
*
[Select...]
Clinical Care
Resources & Support After Service
Innovation
What is your connection to our mission?
*
[Select...]
I am a Veteran
I am a friend/family member of a Veteran
I am a friend/family member of an active duty service member
I am a Northwell Health employee
I am a community member and wish to support this important cause
How did you hear about us?
Northwell Website
Northwell Health Side By Side Campaign
Social Media
Friend/Family
Northwell Health E-Mail
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