Participant Fundraising Incentive Form

You are receiving a link to this form because you were a phenomenal fundraiser through Expect Miracles Foundation's Distance Challenge. Thank you so much for your unbelievable support. If you would like to receive your fundraising prize, you must complete this form by June 13, 2023 at 5PM EST! Just a reminder, you receive 1 item.

To view images of items, visit: https://www.emfdistancechallenge.org/fundraising-incentives

Mailing address for the item? We cannot ship to PO boxes.

I confirm this information is true and accurate.*