Custom Donation Request - Marketing & Communications Intake Form Version 2

MARKETING & COMMUNICATIONS - CANCER.ORG DONATION FORM REQUEST

Thank you for submitting a request for marketing work. All requests will be reviewed within two business days. We will follow up if there are questions and to let you know if we can complete the request per the information submitted.
Please note, you cannot save a draft of this form and continue later.
CONTACT INFORMATION

Contact Information must be entered before selecting a channel.
Name *

First Name Last Name
Email *
first.last@cancer.org
What is your work location? *
MARKETING & COMMUNICATIONS CHANNEL/ASSIGNMENT
If you need a custom donation form on cancer.org for corporate partners or specific campaigns or promotions use this form.
New Donation Form: *

Cancer.org Custom Donation Form
BUSINESS REQUEST
Name your request: *
Keep the name brief, you will have a chance to explain more later in the form.
Related line of business? *
When do you need the Custom Donation Form? *

Month Day Year
Please allow 12 business days for Custom Donation Form Requests Date Picker Icon
What is the launch or start date? *

Month Day Year
Date Date Picker Icon
If your delivery date is less than 12 business days from today's date, please explain the business reason driving the expedited request.
Note: If this is a multi-channel request, it may require more than 10 days to complete the project. Channel leads will evaluate the request and provide a project timeline.
New Donation Form Request - Marketing
Path *
Cloned URL?
Salesforce Name *
Society Key *
What is your Society Key Restriction Code *
Restriction codes are only used if your donation form will be raising money for a specific fund, for example: Hope Lodge.
Header Image (ACS Logo Standard) *
Not Required
Header Text *
Standard (Help us attack cancer from every angle today.)
Heading *
Standard (Donate Today)
SubHeading *
Standard (Your tax-deductible donation funds lifesaving research, education and care — and would mean so much to someone fighting cancer. Please donate today.)
Description Text (Optional)
Right Rail *
Note that the Chat is standard and no need to request it.
One Time Ask String
Monthly Ask String
Final URL
File Upload

Browse Files
File Upload Cancel of
Should be Empty:

MARKETING & COMMUNICATIONS - CANCER.ORG DONATION FORM REQUEST

CONTACT INFORMATION

MARKETING & COMMUNICATIONS CHANNEL/ASSIGNMENT

BUSINESS REQUEST

New Donation Form Request - Marketing