Champions and Heroes, Charity

Sign Up

Fill out the application below or download our printable form to become a member. Once you are a member you will be able to access our service/product providers who will give to your favorite charity when you make purchases from them.


First Name:
Middle Name:
Last Name:

Phone Number:
Please let us know when is the best time to reach you:


Mailing Address:
Address 2:
City:
	State: Zip:

Email Address:

Please select your charity from the drop down menu:



If you don’t see your charity or a charity you would like to support nominate a charity you would like to receive donations. Please provide as much info as possible so we can contact them and sign them up. Thanks!
Organization Name:
Phone Number:
Web Site:
The cause they support:
Contact Person:

Briefly describe the product or service you are considering or need.


Would you like to tell a friend or colleague? Everyone benefits from out team efforts. Tell them about us and ask them to visit www.ChampionsandHeroes.com. or we can send them an email invite. All you have to do is tell us where to send the info.
Friends Name:
Friends Email:

Be a Hero
You’re a giver. But you want to give more and better. You’re a hero when you buy goods from Champions who donate a portion of their sales to your favorite charity.

Be a Champion
You have a business and giving back is important to you.You are a champion when you give a portion of your sales to charity.

Charities
You receive contributions when Champions and Heroes come together.