MHL Pride Fundraiser 2026 Signup Form

Mental Health Liberation Fundraiser

BIPOC Pride & Healing - Signup Form
Thank you for your interest in participating in Mental Health Liberation's BIPOC Pride & Healing Fundraiser!

We deeply appreciate your generosity and solidarity.

Please fill out the form to get started!

(approx. 5 minutes to complete)
I am signing up as:
☀️ For Businesses, Practices or Orgs:

You're amazing!
Name of business or organization:
Your Name - preferred or chosen names warmly welcomed:

First NameLast Name
Email:
Website:
Social media handles: (Optional)
Mailing Address:

Street Address

Street Address Line 2

CityState

Zip Code
Logo or photo:

Cancelof
For which month will you join the campaign?
What is the duration of your fundraiser?
Examples: month of June, 6/1-15, 7/1-15 etc.
Describe your business or org in 3 sentences or less.
Tell us how you’d like to support this fundraising campaign.
Examples: % of sales, $ amount per item sold, portion of membership fees, one-time donation, etc.
Businesses with physical locations only: how would you like to receive your posters?
If you need any other resources to feel supported, please comment here:
📣 For Amplifyers:

You're amazing!
Thanks so much for helping spread the word!

Once you sign up, you will gain access to digital resources to reach out to businesses or organizations in your area:
- Flyers to print & post
- Social media graphics
- Email templates
- Phone scripts
If you have questions, please let us know in the "Comments or questions" box below!
Your Name - preferred or chosen names warmly welcomed:

First NameLast Name
Email:
Location:
(OPTIONAL) Mailing Address - so we can send you a small "thank you" :)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Comments or questions:
Should be Empty:

Mental Health Liberation Fundraiser

☀️ For Businesses, Practices or Orgs:

📣 For Amplifyers: