2020 ANNUAL CAMPAIGN: Prospect Clearance Form

Thank you for agreeing to be a Y Champion and help us raise funds. In order to make sure multiple volunteers are not contacting the same prospect, please fill out the prospect clearance form below.

Your Name*

First Name Last Name

Your E-mail*

Your Phone Number*

Area Code Phone Number

Your Y Location

INSTRUCTIONS

Please include as much information as possible so we can accurately research your prospect.

If you have additional prospects to add, please indicate that. Another prospect field will appear.

Prospect Name*

First Name Last Name

Spouse Name

First Name Last Name

Phone Number*

Area Code Phone Number

E-mail

City of Residence*

Would you like to add another prospect?*

YesNo

Prospect Name

First Name Last Name

Spouse Name

First Name Last Name

Phone Number

Area Code Phone Number

E-mail

City of Residence*

Would you like to add another prospect?*

YesNo

Prospect Name

First Name Last Name

Spouse Name

First Name Last Name

Phone Number

Area Code Phone Number

E-mail

City of Residence*

Would you like to add another prospect?*

YesNo

Prospect Name

First Name Last Name

Spouse Name

First Name Last Name

Phone Number

Area Code Phone Number

E-mail

City of Residence*

Would you like to add another prospect?*

YesNo

Prospect Name

First Name Last Name

Spouse Name

First Name Last Name

Phone Number

Area Code Phone Number

E-mail

City of Residence*

Would you like to add another prospect?*

YesNo

Prospect Name

First Name Last Name

Spouse Name

First Name Last Name

Phone Number

Area Code Phone Number

E-mail

City of Residence*

Would you like to add another prospect?*

YesNo

Prospect Name

First Name Last Name

Spouse Name

First Name Last Name

Phone Number

Area Code Phone Number

E-mail

City of Residence*

Would you like to add another prospect?*

YesNo

Prospect Name

First Name Last Name

Spouse Name

First Name Last Name

Phone Number

Area Code Phone Number

E-mail

City of Residence*

Would you like to add another prospect?*

YesNo

Prospect Name

First Name Last Name

Spouse Name

First Name Last Name

Phone Number

Area Code Phone Number

E-mail

City of Residence*

Would you like to add another prospect?*

YesNo

Prospect Name

First Name Last Name

Spouse Name

First Name Last Name

Phone Number

Area Code Phone Number

E-mail

City of Residence*

We will strive to turn around all prospect requests within a TWO business day time frame.

Thank you for being a Y Champion.

Questions? Email Jessica Aycock: jaycock@ymcaokc.org