Telethon Check Presentation Registration Form :: Nationwide Children's Hospital

2014 Children’s Miracle Network Hospitals Telethon

May 31st & June 1st
WBNS 10TV Studio

Please review the available time blocks below, and indicate your first and second choices.  We will do our best to accommodate your preference; time blocks will be filled on a first response basis.

Children's Miracle Network Hospitals Telethon Check Presentation Registration
We’d like to present our check recognizing our 2013 fundraising. (Yes/No) *
1st Choice
2nd Choice
Company Information (please fill out completely):
Presenter’s Name
Phone Number
Fax Number
Questions? Contact Robbii Miller at (614) 355-0818.
Nationwide Children's Hospital
700 Children's Drive Columbus, Ohio 43205 614.722.2000