1613 E. Morehead St. ● Charlotte, NC 28207
704-335-1191 ●
THIRD PARTY FUNDRAISING APPLICATION
NOTE: THIS APPLICATION MUST BE APPROVED BY RONALD MCDONALD HOUSE OF CHARLOTTE PRIOR TO
PUBLICIZING OR HOLDING EVENT
DATE:_____________________
GROUP/COMPANY PLANNING EVENT:_____________________________________________________________________
CONTACT PERSON RESPONSIBLE:_________________________________________________________________________
CONTACT PHONE:____________________________________ CONTACT EMAIL:__________________________________
MAILING ADDRESS:_______________________________________________________________________________________
CITY:______________________________________ STATE:_____________ ZIP:_____________________________________
FUNDRAISING PROGRAM/EVENT NAME:__________________________________________________________________
DATE:____________________________________________ TIME:__________________________________________________
LOCATION:_______________________________________________________________________________________________
DESCRIPTION:____________________________________________________________________________________________
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
ESTIMATED PARTICIPATION/ATTENDANCE:______________ ESTIMATED DONATION AMOUNT:$_____________
LIST ANY OTHER CHARITABLE ORGANIZATIONS THAT WILL BE INVOLVED OR BENEFIT:__________________
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
WILL YOU BE SOLICITING FOR DONATIONS AND/OR SPONSORSHIPS?
o YES
o NO
DOES YOUR EVENT REQUIRE A LICENSE?
o YES
o NO