Yes! We want to join Donor Alliance as a Workplace Partner for Life!

Full details of the 2013 Workplace Partnership for Life program are available in the Enrollment Kit.

  • Company Information

  • Contact Information

  • Details of the Partnership

    Our organization will sign on as a Workplace Partner for Life and will promote organ, eye and tissue donation as indicated below.
    Please select the activities you are planning as part of your campaign.
  • Please set a goal for the number of new organ, eye and tissue donors you would like to recruit through your Workplace campaign.
  • Recognition

    Please choose one gift and indicate the quantity below
  • Indicate the quantity of for your designated gift.
  • Accepted file types: jpg, png, jpeg, pdf.
    Please upload your company logo so we can post it on the WPFL page at
  • Please provide the URL of the page you'd like us to direct visitors to (link through your logo).