Help Hosted Fundraisers Event Registration Form

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HELP Hosted Fundraisers
EVENT REGISTRATION FORM
Please complete this form with as much information as possible.
Thank you for your interest in hosting a fundraiser for HELP! This registration form is to let us know that you will
be raising funds for HELP. We look forward to providing you with the support you need for a successful event.
Within two weeks of submission, we will contact you to confirm any additional event details.
Date Submitted: _____________________
I.
CONTACT INFORMATION
Primary Contact Name: ____________________________________________________________________
Mailing Address: __________________________________________________________________________
City: _________________________________________
State: _______
Zip: ___________________
Email Address: ___________________________________
Skype ID: __________________________
Phone Number: ________________________________
Secondary Contact Name: __________________________________________________________________
Secondary Contact Email Address: ___________________________________________________________
II.
EVENT INFORMATION
Event Name/Theme: _______________________________________________________________________
Date: ___________________
Time: ________________
Venue: _____________________________
Is HELP the primary beneficiary of event proceeds:
Yes
No
Please list any other beneficiary organizations and the percent of proceeds each will receive:
Please describe the type of event you plan to hold (include speakers, activities, food, etc.):
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HELP Hosted Fundraisers
Event Registration Form
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