eCampaign Registration

The Donate Life California eCampaign is a free, simple, tool designed to inspire your community to save lives by signing up on the statewide registry to become organ and tissue donors through an unique URL customized with your story and picture.

All you need to submit to Donate Life California is a picture to be added to your unique URL and a short paragraph about your connection to donation.

Once you submit your story and picture, a Donate Life representative will create your unique URL. You can send your URL to your contacts and encourage them to sign up as organ and tissue donors. Donate Life California will keep track of the number of people that sign up through your unique URL.

Please join us in the eCampaign to save lives!


Click here to see a current eCampaign. Kathleen & Craig Hostert's eCampaign.

Bolded fields are required

Your Information
Name:    
Address 1: Address 2:
City: State:
Zip Code:    
Are You a Member of Any Organization? Name of Organization:
Website URL: http://
Contact Information

Please provide information about your eCampaign contact in the event we need to reach him/her regarding the information submitted here. This information will only be used for the eCampaign you are registering for with this document.

First Name: Last Name:
Title:    
Email: Confirm Email:
Phone: Fax:
eCampaign Details
Name of eCampaign:
Picture:
(for use on the eCampaign website. Acceptable formats .jpg, .gif, .eps, .tif)
Tentative eCampaign Start Date: / /
Tentative eCampaign End Date: / /
Estimated # of individuals to be contacted during your eCampaign:
Materials Requested:
Brochures
Quantity of Materials:
Information about you or organization you wish to post on your assigned URL link:
How may Donate Life California
be of further assistance to you?


(866) 797-2366 Extention 4
Please Verify Captcha:

Copyright 2010 California Donor Registry. All Rights Reserved. Privacy Policy