Local Lodge Fundraising Sponsorship/Matching Funds Request
Date
-
Month
-
Day
Year
Date
Lodge Name
*
Lodge #
*
Submitted by
*
First Name
Last Name
Lodge Position
*
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Address Check Should be Mailed to
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Fundraising Sponsorship
Complete this section if you are requesting fundraising sponsorship for an upcoming event.
Amount Requested
Up to $250
Date of Fundraising Event
-
Month
-
Day
Year
Date
Description of Event
How Will Funds be Used?
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Initial Matching Funds
Complete this section if you are requesting initial matching funds.
Amount Requested
Up to $500
Date of Fundraising Event
-
Month
-
Day
Year
Date
Location of Fundraising Event
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Description of Fundraising Event
Gross Sales
Expenses
Net Profit
Attach 2-3 Pictures of Event
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Additional $500 Matching Funds
Complete this section if you are requesting additional $500 matching funds. To be submitted WITH initial matching funds request. All requirements must be met.
Were ALL per capita paperwork and payments submitted State Secretary by the due date?
Yes
No
Did a lodge delegate attend ALL Board of Directors meetings throughout the year?
Yes
No
Did at least one member from this lodge attend the Annual State Conference?
Yes
No
Did at least one member from this lodge attend the Annual State Conference?
Yes
No
Name, date, and description of at least one event this lodge hosted this year that was open to all WI FOP members.
Submit 2-3 Pictures of Event Described Above
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Name, date, and description of at least one event hosted by another WI FOP local lodge that at least two members of this lodge attended this year.
Submit
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