Register for Canine Companions® DIY Fundraising

How do you want to participate?

Individual

Marlene Siminow in honor of Peter Weintraub
Marlene Siminow

Your Fundraising Goal

How much will you try to raise?

Money raised counts toward your goal + your team’s goal of $10,000!

100

$

First Name

Last Name

Email

We’ll send you a confirmation, plus a link to set up your fundraising page!

Address

Apartment, Suite, Etc.

Optional

City

State

Zip Code

Country

Phone

Did a person invite you to register?

Optional

If someone invited you to register, tell us who so we can give them credit.

Tell us why you're fundraising

Optional

What's one or two sentences that sums up why you're doing this?