3RD PARTY FUNDRAISING
APPLICATION FORM
Contact Informaton
Name of Organizer / Organization
*
Contact Person
*
Phone Number
*
Format: (000) 000-0000.
Email
*
example@example.com
Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Event Information
Proposed Event Name
*
Type of Event
*
Please Select
Auction
Walk/Run
Gala
Online Campaign
Other
Event Time(s)
*
Event Date
*
-
Month
-
Day
Year
Date
Event Location (physical or virtual)
*
Brief Description of Event
*
Promotion & Branding
Will you be using SARA for Women's name/logo in promotions?
*
Yes
No
Support & Resources
Would you need any support from SARA For Women? If so, please specify. (Note: SARA For Women may not be able to fulfill all requests.)
*
Financial Details
Estimated Donation to SARA For Women?
*
Terms & Conditions
By submitting this form, I acknowledge:
The event will be carried out in a responsible and professional manner
*
Yes
No
I will not imply that SARA for Women is a sponsor or organizer of the event
*
Yes
No
All promotional materials using SARA for Women branding will be reviewed and confirmed by the SARA for Women team.
*
Yes
No
I will obtain any required permits or insurance.
*
Yes
No
Signature
*
Date
*
-
Month
-
Day
Year
Date
Submit
Submit
Should be Empty: