Independent Fundraiser Application

Important Note: NPLB must review and approve this proposal form before you proceed with your event plans.

Please allow at least 5 – 7 business days for final approval of your proposal.

If you are expirencing problems with this interactive form, or have additional questions, please email fundraise@NPLBoutdoors.org.

NPLB is accountable to the public for all fundraising activities using the NPLB Outdoors name. Since NPLB is a registered trademark, the organization needs to approve all uses of the charity’s name and logo. You must have all your materials approved before they are posted, printed or produced.

Application submitted by:*

First NameLast Name

Organization/Business/ or Sponsoring Agency:

Phone:*

E-mail:*

example: mike@yahoo.com

Mailing Address:

Street Address

Street Address Line 2

CityState

Zip Code

Name of fundraiser:

Date of fundraiser:

Date

Type of fundraiser:

Event start time:

:HourMinutesAM/PM Option

Event end time

:HourMinutesAM/PM Option

Name of event venue:

Venue Address (event's location):

Street Address

Street Address Line 2

CityState

Zip Code

Please provide a brief description of the fundraiser:

How are you promoting the event/activity (posters, newsletter, radio, print, TV)?:

Will any other organization(s) also benefit from this event/fundraiser?

YesNo

Please list other organization(s):

Is your organization a registered charity in its own right?

YesNo

What is your FEIN#?

Please note that as an IRS approved chairty, you or your organization must provide fair market value of any goods or services received by supporters in exchange for their individual gift, donations, or registration.

Will the event be open to the public and would you like it posted to our online events calendar?

YesNo

Would you like NPLB marketing material to be handed out to attendees or potential donors?

YesNo

Would you like a copy of the NPLB Outdoors Proud Supporter logo?

YesNo

Estimated proceeds to be donated to NPLB:

How did you hear about NPLB Outdoors?

If you have a flyer or anything else you would like us to see, please upload it here.

Terms & Conditions – Please read the following guidelines carefully and sign below.

Permits and Liability
NPLB Outdoors will not assume any legal or financial liability associated with your event, nor will we indemnify you or any party involved in your event for any damage, expense, or other costs arising in any manner related to your event. The organizer of each event must take the proper precautions with regards to insurance and coverage. NPLB Outdoors cannot insure your event. NPLB Outdoors is not liable for any injuries sustained by event volunteers or participants related to your event and cannot assume any type of liability for your event.

What NPLB Outdoors (NPLB) can do for an Independent Fundraiser:
• Provide the NPLB Proud Supporter logo to be used in event promotion
• Post a flyer for the event on our website’s events calendar
• Provide promotional material for attendees or to be placed at an awareness table
• Send acknowledgement letters to all direct contributors for NPLB
• Issue thank you certificates to you and your supporters as requested

What NPLB Outdoors cannot do for an Independent Fundraiser:
• Mail invitations to NPLB constituents
• Provide mailing lists to the event organizer
• Solicit sponsorships or donations for the event
• Endorse the event or its organizers
• Provide an NPLB representative at the event
• Provide volunteers to serve on planning committee, serve in a leadership role at the event, or staff the event
• Have decision making authority at the event or over event operators
• Pay the event expenses or reimburse the organizer for event expenses
• Provide insurance for the event
• Allow the NPLB name to be represented as a partner, sponsor or organizer of this event
• Guarantee attendance

As an Independent Fundraiser, you:

Must abide by all the NPLB Fundraising Guidelines and Logo Guidelines
Must provide any event promotion materials to NPLB for approval before publishing. Please send materials to fundraise@NPLBoutdoors.org for review and approval
Must indemnify, defend and hold NPLB harmless, including its chartered units and its governors, directors, officers, employees, agents and volunteers from and against any and all suits, claims, demands, liabilities, damages, costs and expenses (including reasonable attorneys’ fees) arising out of or relating in any way to your fundraising activity
Must submit any collected funds to NPLB immediately if, for any reason, the fundraiser is cancelled. Funds must be sent to: NPLB Outdoors | P.O. Box 132 | Libertytown, MD 21762
Must comply with all federal, state and local charitable solicitation statutes, regulations and ordinances that affect or apply to the fundraising activity
Must apply due diligence not to use any copyrighted or trademarked material in naming the event or in the creation of slogans and flyers
Must submit proceeds from the fundraiser to NPLB no more than 45 days after the event.
Must collect the names, addresses, phone numbers and emails for each volunteer and donor and submit them to NPLB. This is important information that will help NPLB thank all volunteers and donors
Cannot claim to be a representative of NPLB
Cannot use the NPLB Tax ID number to avoid sales or other taxes
Cannot provide receipts to donors or promise tax deductions for event sponsorships or fees
Cannot use the NPLB Proud Supporter logo without written permission from NPLB

NPLB is not responsible for any financial loss and may withdraw support of the independent fundraising event cancelling this agreement at any time should any activity be discovered that undermines the NPLB charity, the members of our military and people of all abilities. This includes the approved use of any NPLB logo.

I have read, understand, and agree to the above terms and conditions.*