To sign up as a Pacesetter, please complete the form below. For assistance, call (580) 355-0218 or contact Judy Dial. Organization Name Name of Chief Executive Officer Number of Employees Name of Employee Campaign Coordinator(s) Employee Campaign Coordinator(s) Office Phone Number Employee Campaign Coordinator(s) Cell Phone Number Employee Campaign Coordinator(s) Email Address Organization's Pacesetter Fundraising Goal for 2019 Number attending the Pacesetter Kickoff Luncheon on July 19th, 2019 Campaign Dates for Pacesetters - Select - Yes We use our own Organization Pledge Forms - Select - Yes No CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions. Submit