The ALS Association North Carolina Chapter Business Community Challenge Interest Form

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We are recruiting an exclusive group of North Carolina business leaders who will reach out to their professional and personal contacts to garner support for our mission. Your challenge is to raise at least $2,500 by Friday, August 11th and Help Us To Create A World Without ALS.

Everyone who successfully completes the challenge will have their name and company listed in the August 25th edition of the Business Journal and on our chapter social media platforms in recognition of your generous support.

Your participation will help strengthen and continue our passionate fight against ALS. Thank you for taking the challenge!

Email *

First & Last Name *

Company Name & Title *

Company Address *

Phone number *

Preferred method of contact *

Phone call

Text

Other:

What is your Connection to ALS? *

I am a relative of someone who lost their battle with ALS

I am a relative of someone who is currently battling ALS

I am a friend of someone who lost their battle with ALS

I am a friend of someone who is currently battling ALS

I am a co-worker of someone who lost their battle with ALS

I am a co-worker of someone who is currently battling ALS

I have no direct connection to ALS, I want to support the fight

How did you hear about the Business Community Challenge? *

Charlotte Business Journal email

Triad Business Journal email

Triangle Business Journal email

ALS Association North Carolina Chapter email

Facebook

Instagram

Google Business Ad

Word of mouth

Other:

A copy of your responses will be emailed to the address you provided.

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