Cause Marketing Inquiry

 

UrologyThank you for considering a cause marketing campaign to support patients and families at Connecticut Children’s!

Please complete the form below and submit at least 30 days prior to the campaign start date in order to obtain authorization from Connecticut Children’s. Your request will be reviewed and a representative of Connecticut Children’s will contact you within five business days to discuss the proposal.

Please note: Authorized campaigns will be asked to sign a formal cause marketing agreement.

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Contact Information:

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  Please provide contact details for this project's leader:

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Name:

 

 

 

 

       

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City/State/ZIP:

 

    

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Cause Marketing Campaign Details

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Question - Required - Campaign Start Date:




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Question - Required - Campaign End Date:




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(Maximum response 255 chars, approx. 5 rows of text)

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Question - Required - Which social media platforms does your company/organization use?
Please make between 1 and 4 selections from the choices below.

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