QGHF-Fundraiser-Registration-Form

QUEENS GENERAL HOSPTIAL FUNDRAISER REGISTRATION FORM
To register your fundraising event for approval from the Foundation, please complete this form and read and agree to the Fundraising Events Guidelines. We will be in touch with you, once we receive this completed
CONTACT INFORMATION
Organization/group planning event, if applicable:*
Contact Person:*
Telephone:*
Email:*
example@example.com
Mailing Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
EVENT INFORMATION - PLEASE DESCRIBE YOUR EVENT
Name of Event*
Please describe how you plan to promote.*
Is it a one time, annual or ongoing event?*

One Time EventAnnualOngoing
Date(s) of Event:*

MonthDayYear
Date
Event Location:*
Time of Event:*
Estimated Number of Attendees:*
Fundraising Goal ($):
Please describe the event and how funds will be raised:*
Do you plan on using Queens General Hospital Foundation's name and logo in your print materials and publicity?*

YesNo
PLEASE NOTE: All materials featuring the Foundation's name or logo must be approved by the Foundation/event liaison before publication. The Foundation will provide a high resolution version of its logo for approved events.
I/OUR ORGANIZATION AGREE TO ADHERE TO THE QUEENS GENERAL HOSPITAL FOUNDATION FUNDRAISING EVENTS GUIDELINES. *
Please verify that you are human*
Should be Empty:

CONTACT INFORMATION