CWO Business Registration Form

Register for the 2nd Annual Car Wash Operators of NJ Spring Weekend Campaign

Drive business while raising funds for Children's Specialized Hospital May 3 - 5, 2024! Please provide all required details to register your business and receive marketing benefits. DEADLINE: MARCH 15, 2024
Business Owner*

First NameLast Name
Business Name*
Contact Number*
Please enter a valid phone number.
Email*
example@example.com
Business Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
What percentage of sales will you donate to Children's Specialized Hospital as a part of this promotion? (Excludes Unlimited Program)*
Please note funds raised should be mailed via check to Children's Specialized Hospital Foundation at 150 New Providence Rd. Mountainside, NJ 07092 within 30 days.*

I understand
Thank you so much for your support! If you have any questions about giving back, please contact Jill Butterfield at jbutterfield@childrens-specialized.org.
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Register for the 2nd Annual Car Wash Operators of NJ Spring Weekend Campaign