Rally2Give Interest Form

1

Name* This field is required.

First Name

Last Name

2

Primary Email* This field is required.

example@example.com

3

Phone Number* This field is required.

Please enter a valid phone number.

4

Rally2Give main purpose is to fundraise for the special needs & underprivileged youth, is this something you can commit to?* This field is required.

Yes

No

5

Great, what would be your fundraising goals?* This field is required.

Meet The Minimum ($4,000)

Beat The Minimum ($4,000 - $7,000

Hit It Out Of The Park ($7,000+)

6

Would you or your company be interested in sponsoring this years event?* This field is required.Sponsorship Details Provided Upon Request

Diamond ($30,000+)

Gold ($20,000

Silver ($10,000)

Bronze ($7,500)

Not Interested This Year

7

Have You Ever Attended A Rally?* This field is required.

YESNO

8

What Rally Did You Attend?* This field is required.

9

Vehicle Make* This field is required.

10

Vehicle Model* This field is required.

11

If you have an Instagram account, please provide your handle below

12

Who Would You Drive With On This Years Rally?* This field is required.

First Name

Last Name

13

Anything Else We Should Know About YOU?* This field is required.