Radiothon Registration Thank you for becoming a CHAMPION for kids! We are excited to have you as a supporter and to make sure you are prepared for your day and that we recognize you appropriately, please fill out the information below: First Last Business Name* Business LogoMax. file size: 128 MB. Street Address Address Line 2 City StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Best Phone to be Reached at:Shirt Size #1* S M L XL 2XL Shirt Size #2* S M L XL 2XL Will you be attending challenge hour interview times?* Yes No If yes, how many people will be attending the challenge hour? 1 person 2 people 3 people 4 people Facebook Page Link (Optional) Instagram Page (Optional) Twitter Page (Optional) Hashtags relevant to your Business or Brand (Optional)